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8040 S Virginia St Suite #1 Reno NV 89511-8951 | |
| (310) 895-0133 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8040 S Virginia St, Reno, Nevada |
| Authorized Official Name and Position | William Dale Demberecky (EVP & CHIEF STRATEGY AND GROWTH) |
| Authorized Official Contact | 7145712140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8040 S Virginia St Suite #1 Reno NV 89511-8951 Ph: () - | 8040 S Virginia St Suite #1 Reno NV 89511-8951 Ph: (310) 895-0133 |
| NPI Number | 1770756702 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 02/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770756702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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