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5015 Pyramid Lakes Rd. Sparks NV 89436-7746 | |
| (702) 435-5015 | |
| (702) 366-1483 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5015 Pyramid Lakes Rd., Sparks, Nevada |
| Authorized Official Name and Position | Benny B. Kohanteb (OWNER) |
| Authorized Official Contact | 7024355015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5015 Pyramid Lake Rd Sparks NV 89436-7746 Ph: (702) 435-5015 | 5015 Pyramid Lakes Rd. Sparks NV 89436-7746 Ph: (702) 435-5015 |
| NPI Number | 1700059748 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700059748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Michael M Day Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2261 Pyramid Way, Suite 7, Sparks, NV 89431 Phone: 775-358-5265 Fax: 775-358-5233 | |