| NPI | 1770138521 |
|---|---|
| Doing Business As | DENTISTS OF ST. ROSE MY KIDS DENTIST |
| Entity Type | Organization |
| Authorized Contact | SOPHIA QUINN Owner 702-529-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2022-04-13 |