| NPI | 1952183329 |
|---|---|
| Doing Business As | NEVADA PEDO |
| Entity Type | Organization |
| Authorized Contact | TRAVIS NEU Owner 702-305-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |