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685 E Prater Way Suite #103 Sparks NV 89431-4681 | |
(775) 358-4600 | |
(775) 358-4660 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 685 E Prater Way, Sparks, 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 |
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685 E Prater Way Suite #103 Sparks NV 89431-4681 Ph: (775) 358-4600 | 685 E Prater Way Suite #103 Sparks NV 89431-4681 Ph: (775) 358-4600 |
NPI Number | 1043474158 |
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Provider Enumeration Date | 07/17/2008 |
Last Update Date | 02/01/2023 |
Identifier | Type | State | Issuer |
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1043474158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |