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3790 Us Highway 395 S Ste 103 Carson City NV 89705-6898 | |
| (775) 267-2244 | |
| (775) 267-2115 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3790 Us Highway 395 S, Carson City, Nevada |
| Authorized Official Name and Position | Jack Lewis Harrington (OWNER) |
| Authorized Official Contact | 7752672244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3790 Us Highway 395 S Ste 103 Carson City NV 89705-6898 Ph: (775) 267-2244 | 3790 Us Highway 395 S Ste 103 Carson City NV 89705-6898 Ph: (775) 267-2244 |
| NPI Number | 1861671240 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861671240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 868 (Nevada) | Primary |
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