| NPI | 1982158150 |
|---|---|
| Doing Business As | CENTENNIAL MODERN DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CARI A CALLAWAY-NELSON Owner 702-273-3676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |