| My Kid's Smile | |
|
3150 Vista Blvd Suite 110 Sparks NV 89436-6712 | |
| (775) 852-6164 | |
| Not Available |
| Full Name | My Kid's Smile |
|---|---|
| Speciality | Dentist |
| Location | 3150 Vista Blvd, Sparks, Nevada |
| Authorized Official Name and Position | Nicholas Channing Christiansen (MANAGER) |
| Authorized Official Contact | 7758483005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Kid's Smile 10645 Double R Blvd Reno NV 89521-8920 Ph: (775) 852-6164 | My Kid's Smile 3150 Vista Blvd Suite 110 Sparks NV 89436-6712 Ph: (775) 852-6164 |
| NPI Number | 1073995213 |
|---|---|
| Provider Enumeration Date | 06/24/2015 |
| Last Update Date | 06/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073995213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4489 (Nevada) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 36-117 (Nevada) | Secondary |
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