| NPI | 1972744373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FREDRICK NELSON Doctor 702-658-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-47) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2010-03-11 |