| NPI | 1659447688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENA E BOOTH CEO 775-463-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist (Licence: NV 4157) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-10-12 |