| NPI | 1821115338 |
|---|---|
| Doing Business As | SOUTHRIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BYRONN GENE HAHN Owner 702-777-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 5105) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-08-07 |