| NPI | 1801125596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND CORDERO Director 702-734-7839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4480) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |