| NPI | 1821345596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH YAMASHIRO Manager 702-706-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-238) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2013-06-17 |