| Mobile Dental Services 1 | |
|
762 14th St Elko NV 89801-3413 | |
| (775) 738-5850 | |
| Not Available |
| Full Name | Mobile Dental Services 1 |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 762 14th St, Elko, Nevada |
| Authorized Official Name and Position | Carrie Black (PROVIDER RELATIONS MANAGER) |
| Authorized Official Contact | 7758886610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Dental Services 1 3325 Research Way Carson City NV 89706-7913 Ph: () - | Mobile Dental Services 1 762 14th St Elko NV 89801-3413 Ph: (775) 738-5850 |
| NPI Number | 1306612122 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306612122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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