| NPI | 1962969626 |
|---|---|
| Doing Business As | THE KIDS DENTIST OF HENDERSON |
| Doing Business As | WIRIG SHAW ORTHODONTICS |
| Doing Business As | THE KIDS DENTIST OF LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | MATTHEW WIRIG Manager 702-454-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-11-06 |