| NPI | 1679599138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY TURNER Office Manager 702-240-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2010-07-19 |