| NPI | 1942445036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREGORY LOGELIN CEO 702-889-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3481) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |