| NPI | 1699659573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE MCGINLEY Pediatric Dentist/Owner 775-824-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |