| NPI | 1831858653 |
|---|---|
| Doing Business As | VEGAS PEDIATRIC PARTNERS |
| Entity Type | Organization |
| Authorized Contact | DIANA J CAZZALY Regional Director 702-882-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |