| NPI | 1841461597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M STEVENS Director 702-798-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV 2496/S3-42) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |