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1125 Avenue Of The Oaks Unit 161 Sparks NV 89431-4913 | |
(775) 335-3199 | |
(775) 870-1632 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1125 Avenue Of The Oaks Unit 161, Sparks, Nevada |
Authorized Official Name and Position | Cariann Elaine Champagne (OWNER) |
Authorized Official Contact | 7753593934 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2070 Sparks NV 89432-2070 Ph: (775) 359-3934 | 1125 Avenue Of The Oaks Unit 161 Sparks NV 89431-4913 Ph: (775) 335-3199 |
NPI Number | 1215332374 |
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Provider Enumeration Date | 10/30/2014 |
Last Update Date | 08/09/2024 |
Identifier | Type | State | Issuer |
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1215332374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | 4049 (Nevada) | 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 | |