| NPI | 1770316382 |
|---|---|
| Doing Business As | EVESBORO DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROXANA LARISA MACIEJESKI Dentist 702-600-3964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |