NPI | 1982373957 |
---|---|
Doing Business As | PARADISE VILLAGE DENTAL CENTER |
Doing Business As | PURE DENTAL |
Entity Type | Organization |
Authorized Contact | IRENE HAN General Dentist 702-401-9955 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-09-12 |
Last Update Date | 2021-09-12 |