| NPI | 1881967628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARISTIDES A TSIKOUDAKIS Maxillofacial Prosthodontist 702-739-6452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: NV 2000203290) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |