| NPI | 1780219287 |
|---|---|
| Doing Business As | THUNDERBIRD DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARLA LALANDE Member 702-254-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |