| NPI | 1871152884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GALEA Managing Member 775-825-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2022-10-21 |