| NPI | 1962436816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON L SALA Vice President/Owner 775-322-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 709) |
| Additional Taxonomies | 122300000X Dentist (Licence: NV 4346) |
| 122300000X Dentist (Licence: NV 4559) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |