NPI | 1831752336 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS SHANNON President 702-738-5334 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2019-04-19 |
Last Update Date | 2019-04-19 |