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730 Sandhill Rd Ste 200 Reno NV 89521-8963 | |
| (775) 477-5337 | |
| (775) 360-4131 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 730 Sandhill Rd Ste 200, Reno, Nevada |
| Authorized Official Name and Position | Jason Ryan Doucette (OWNER) |
| Authorized Official Contact | 7754775337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
730 Sandhill Rd Ste 200 Reno NV 89521-8963 Ph: (775) 477-5337 | 730 Sandhill Rd Ste 200 Reno NV 89521-8963 Ph: (775) 477-5337 |
| NPI Number | 1871097139 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 8426304585 |
|---|---|
| Medicare Enrollment ID | O20180702002863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871097139 | NPI | - | NPPES |
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