NPI | 1972723344 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MATTHEW WHITE President 775-738-1120 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4567) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |