| NPI | 1780359794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONIKA VAZQUEZ Doctor/Owner 775-453-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |