| NPI | 1851699516 |
|---|---|
| Other Name | UNLV PEDIATRIC COMMUNITY OUTREACH |
| Entity Type | Organization |
| Authorized Contact | LAURIE ANN EVANS Director Of Clinical Svcs. 207-774-2819 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2014-03-27 |