Innovative Dental Solutions, Llc | |
120 Mcfaul Way Zephyr Cove NV 89448-9807 | |
(775) 588-5183 | |
(775) 364-1744 |
Full Name | Innovative Dental Solutions, Llc |
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Speciality | Clinic/center - Dental |
Location | 120 Mcfaul Way, Zephyr Cove, Nevada |
Authorized Official Name and Position | Robert Francis Desipio (OWNER) |
Authorized Official Contact | 7755885183 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Dental Solutions, Llc Po Box 10408 Zephyr Cove NV 89448-2408 Ph: (775) 588-5183 | Innovative Dental Solutions, Llc 120 Mcfaul Way Zephyr Cove NV 89448-9807 Ph: (775) 588-5183 |
NPI Number | 1699367110 |
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Provider Enumeration Date | 02/05/2021 |
Last Update Date | 02/05/2021 |
Identifier | Type | State | Issuer |
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1699367110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |