| NPI | 1962849976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS Z KIRKLAND President 775-738-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 62179) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |