| NPI | 1952277881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HUANG Regional Manager 702-750-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |