NPI | 1932251964 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY BAKER HACKSTAFF President 775-825-4748 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 540) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |