| NPI | 1740684430 |
|---|---|
| Doing Business As | KIDS' DENTAL SAFARI |
| Entity Type | Organization |
| Authorized Contact | WILLIAM WAGGONER President 702-254-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-17) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |