|
| |
|
2399 Wingfield Hills Rd Ste 130 Sparks NV 89436-7207 | |
| (775) 473-6031 | |
| (775) 354-1507 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2399 Wingfield Hills Rd, Sparks, Nevada |
| Authorized Official Name and Position | Bradley R Peterson (PC OWNER/PRESIDENT) |
| Authorized Official Contact | 3608697645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1101 Se Tech Center Dr Ste 195 Vancouver WA 98683-5511 Ph: (360) 869-7645 | 2399 Wingfield Hills Rd Ste 130 Sparks NV 89436-7207 Ph: (775) 473-6031 |
| NPI Number | 1023483534 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023483534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Michael M Day Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2261 Pyramid Way, Suite 7, Sparks, NV 89431 Phone: 775-358-5265 Fax: 775-358-5233 | |