| NPI | 1801223540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY JAQUES Partner 775-423-5213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 5894) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2019-03-28 |