| NPI | 1649655432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GRAY Pedo Ortho Manager 775-322-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-40) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |