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412 W John St Ste 100 Carson City NV 89703-8829 | |
| (775) 882-4122 | |
| (775) 882-6800 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 412 W John St Ste 100, Carson City, Nevada |
| Authorized Official Name and Position | Irma Janssen (OFFICE MANAGER) |
| Authorized Official Contact | 7758824122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
412 W John St Ste 100 Carson City NV 89703-8829 Ph: (775) 882-4122 | 412 W John St Ste 100 Carson City NV 89703-8829 Ph: (775) 882-4122 |
| NPI Number | 1184182503 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184182503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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