| Team Perio, Inc., A Professional Corporation | |
|
855 W 7th St Ste 130 Reno NV 89503-2706 | |
| (775) 447-1191 | |
| Not Available |
| Full Name | Team Perio, Inc., A Professional Corporation |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 855 W 7th St Ste 130, Reno, Nevada |
| Authorized Official Name and Position | Eric Blasingame (PRESIDENT/OWNER/PERIODONTIST) |
| Authorized Official Contact | 5302413302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Perio, Inc., A Professional Corporation 855 W 7th St Ste 130 Reno NV 89503-2706 Ph: (775) 447-1191 | Team Perio, Inc., A Professional Corporation 855 W 7th St Ste 130 Reno NV 89503-2706 Ph: (775) 447-1191 |
| NPI Number | 1083201248 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083201248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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