| NPI | 1750050795 |
|---|---|
| Doing Business As | NEW LIFE DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | JAVID FARAN OSAFI Owner / Dentist 702-612-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |