NPI | 1972853109 |
---|---|
Doing Business As | RANCHO DENTAL |
Entity Type | Organization |
Authorized Contact | BRIAN SCOTT BIENSTOCK Dentist / Owner 702-281-8224 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NV 4549) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2012-09-14 |