| Cfd South Meadows Llc | |
|
9598 Prototype Ct Ste A Reno NV 89521-3950 | |
| (775) 234-5595 | |
| Not Available |
| Full Name | Cfd South Meadows Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9598 Prototype Ct Ste A, Reno, Nevada |
| Authorized Official Name and Position | Jason Champagne (OWNER) |
| Authorized Official Contact | 7756369939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cfd South Meadows Llc Po Box 2070 Sparks NV 89432-2070 Ph: (775) 636-9939 | Cfd South Meadows Llc 9598 Prototype Ct Ste A Reno NV 89521-3950 Ph: (775) 234-5595 |
| NPI Number | 1912612326 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912612326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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