NPI | 1740261122 |
---|---|
Entity Type | Organization |
Authorized Contact | MARKHAM BROWN Chief Of Medical Services 702-653-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 5434) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2008-06-13 |