| NPI | 1801919113 |
|---|---|
| Doing Business As | LAKE MEAD DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELLEN PIYEVSKY President 702-304-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3344) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |