| NPI | 1811403900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LITTLEJOHN K VANHORN Manager 775-626-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NV 5122) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |