| NPI | 1669133963 |
|---|---|
| Doing Business As | WOW DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | THANH NGO Owner 702-885-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |