NPI | 1962831420 |
---|---|
Doing Business As | LAS VEGAS DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | NICHOLAS ANTHONY MAFFEO Owner/Manager/Dentist 702-870-5165 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 5638,890,774,2513) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2013-11-05 |