| NPI | 1740333251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAH VAN Office Manager 702-433-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4176T) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |