| NPI | 1952706012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEN CHAMPAGNE Owner 775-359-3934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4050) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |