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 |