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2125 Green Vista Dr Ste 104 Sparks NV 89431-8515 | |
| (630) 337-9037 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2125 Green Vista Dr Ste 104, Sparks, Nevada |
| Authorized Official Name and Position | Philip Rutkowski (ORTHODONTIST) |
| Authorized Official Contact | 2482175004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2125 Green Vista Dr Ste 104 Sparks NV 89431-8515 Ph: (775) 674-1444 | 2125 Green Vista Dr Ste 104 Sparks NV 89431-8515 Ph: (630) 337-9037 |
| NPI Number | 1386468403 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386468403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | 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 | |