| NPI | 1851682041 |
|---|---|
| Doing Business As | ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHEL DACCACHE Owner 775-750-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV S2-112C) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2017-03-30 |