Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 1955 E Prater Way, Sparks, Nevada |
Authorized Official Name and Position | Tony J Depaoli (PRESIDENT) |
Authorized Official Contact | 7753596780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1955 E Prater Way Sparks NV 89434 Ph: (775) 359-6780 | 1955 E Prater Way Sparks NV 89434 Ph: (775) 359-6780 |
NPI Number | 1356552723 |
---|---|
Provider Enumeration Date | 05/25/2007 |
Last Update Date | 06/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356552723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2562 (Nevada) | Primary |
Michael M Day Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2261 Pyramid Way, Suite 7, Sparks, NV 89431 Phone: 775-358-5265 Fax: 775-358-5233 | |