| NPI | 1891191391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CLARKSON Regional Manager 702-757-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 6573) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |