| NPI | 1790003853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED THOMAS BUCK President 775-883-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NV s7-70c) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |