| Saint Mary's Wic Dental Program | |
|
1510 Meadow Wood Ln Reno NV 89502-8503 | |
| (775) 770-3456 | |
| (775) 770-6110 |
| Full Name | Saint Mary's Wic Dental Program |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1510 Meadow Wood Ln, Reno, Nevada |
| Authorized Official Name and Position | John Deakyne (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7757706239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Mary's Wic Dental Program 5250 Neil Rd Suite 103 Reno NV 89502-6555 Ph: (775) 770-3558 | Saint Mary's Wic Dental Program 1510 Meadow Wood Ln Reno NV 89502-8503 Ph: (775) 770-3456 |
| NPI Number | 1508038860 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508038860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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