| Kid Dental Carson City Llc | |
|
314 W Fifth St Carson City NV 89703-4604 | |
| (775) 882-1111 | |
| (775) 525-5512 |
| Full Name | Kid Dental Carson City Llc |
|---|---|
| Speciality | Dentist |
| Location | 314 W Fifth St, Carson City, Nevada |
| Authorized Official Name and Position | Angela K. Golden (MEMBER/OWNER) |
| Authorized Official Contact | 7758464777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kid Dental Carson City Llc 2745 Beach River Dr Reno NV 89521-6223 Ph: (775) 846-4777 | Kid Dental Carson City Llc 314 W Fifth St Carson City NV 89703-4604 Ph: (775) 882-1111 |
| NPI Number | 1679139257 |
|---|---|
| Provider Enumeration Date | 05/19/2019 |
| Last Update Date | 05/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679139257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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