| NPI | 1972496628 |
|---|---|
| Doing Business As | FALLON DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | AMY AURORA NYGREN Dentist 775-342-8253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |