| NPI | 1649760257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI JOHN SORENSON Pediatric Dentist 702-854-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-131) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |