NPI | 1659594067 |
---|---|
Doing Business As | WIGWAM DENTAL CARE |
Entity Type | Organization |
Authorized Contact | ELLEN PIYEVSKY President 702-617-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3344) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |