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 |