My Kids Smile | |
5030 Las Brisas Blvd Ste B-3 Reno NV 89523-6239 | |
(775) 852-6164 | |
(775) 284-7352 |
Full Name | My Kids Smile |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 5030 Las Brisas Blvd Ste B-3, Reno, Nevada |
Authorized Official Name and Position | Aleta Valerie Beuter (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7754094614 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
My Kids Smile 3605 Grant Dr Reno NV 89509-5301 Ph: (775) 409-4614 | My Kids Smile 5030 Las Brisas Blvd Ste B-3 Reno NV 89523-6239 Ph: (775) 852-6164 |
NPI Number | 1043725039 |
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Provider Enumeration Date | 12/12/2017 |
Last Update Date | 12/12/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043725039 | NPI | - | NPPES |
1223P0221X | Other | PEDIATRIC DENTISTRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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