NPI | 1831905116 |
---|---|
Doing Business As | VEGAS CHOICE DENTAL |
Former Legal Business Name | PETER S BALLE DDS LTD |
Entity Type | Organization |
Authorized Contact | ISABELLA BALLE Office Manager 702-877-6608 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-12-10 |
Last Update Date | 2024-12-10 |