| NPI | 1760795256 |
|---|---|
| Doing Business As | AVALON DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAMELA K PROPSTER Office Manager 702-638-1005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 4348) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |