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6350 Mae Anne Ave #1 Reno NV 89523-4736 | |
| (775) 787-2600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6350 Mae Anne Ave, Reno, Nevada |
| Authorized Official Name and Position | Monica Tricia Lee (OWNER/DIRECTOR) |
| Authorized Official Contact | 7757872600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6350 Mae Anne Ave #1 Reno NV 89523-4736 Ph: (775) 787-2600 | 6350 Mae Anne Ave #1 Reno NV 89523-4736 Ph: (775) 787-2600 |
| NPI Number | 1184942708 |
|---|---|
| Provider Enumeration Date | 05/06/2010 |
| Last Update Date | 05/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184942708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4880 (Nevada) | Primary |
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