| NPI | 1952050478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GURRIES President/CEO 775-354-4576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |