| NPI | 1710315668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PARK President 775-882-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 0726) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |