| NPI | 1699054254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MY TRAN Manager 702-838-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 6131) |
| Additional Taxonomies | 122300000X Dentist (Licence: NV 5586) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |