Ruby Mountain Dental Llc | |
1000 Humboldt Ave Ste A Wells NV 89835 | |
(775) 752-3056 | |
Not Available |
Full Name | Ruby Mountain Dental Llc |
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Speciality | Dentist - General Practice |
Location | 1000 Humboldt Ave Ste A, Wells, Nevada |
Authorized Official Name and Position | Travis Trent Shepherd (DENTIST/OWNER) |
Authorized Official Contact | 7757523056 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ruby Mountain Dental Llc 610 Garnet Dr Kimberly ID 83341-1942 Ph: (505) 787-0082 | Ruby Mountain Dental Llc 1000 Humboldt Ave Ste A Wells NV 89835 Ph: (775) 752-3056 |
NPI Number | 1700367190 |
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Provider Enumeration Date | 08/24/2018 |
Last Update Date | 08/24/2018 |
Identifier | Type | State | Issuer |
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1700367190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | GR6862TA (Nevada) | Primary |