| NPI | 1760539670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE O. HENDERSON Owner 775-423-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 2429) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 4625) |
| 1223G0001X Dentist, General Practice (Licence: NV GR4512TA) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV 5347) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-09-08 |