| NPI | 1740563535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND PISCHINGER Insurance Department Manager 702-522-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 3692) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2018-06-27 |