| NPI | 1821985383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY THEODORE ROBERTS Owner 702-553-6762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |