| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 550 Hammill Ln, Reno, Nevada |
| Authorized Official Name and Position | Melody Bennion (DIRECTOR OF INTEGRATIONS) |
| Authorized Official Contact | 4802348490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
410 N 44th St Ste 290 Phoenix AZ 85008-7622 Ph: (480) 626-4154 | 550 Hammill Ln Reno NV 89511-2045 Ph: (775) 852-1770 |
| NPI Number | 1750889283 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750889283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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