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6880 South Mccarran Blvd Ste. 9 Reno NV 89509-6129 | |
| (775) 825-8366 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 6880 South Mccarran Blvd Ste. 9, Reno, Nevada |
| Authorized Official Name and Position | Brian Chan (PRESIDENT) |
| Authorized Official Contact | 7753939548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6880 South Mccarran Blvd #9 Reno NV 89509 Ph: () - | 6880 South Mccarran Blvd Ste. 9 Reno NV 89509-6129 Ph: (775) 825-8366 |
| NPI Number | 1487904306 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 09/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487904306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5642 (Nevada) | Primary |
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