| Kid Dental Llc | |
|
1301 N Mccarran Blvd Ste 104 Sparks NV 89431-3870 | |
| (775) 825-5005 | |
| (775) 624-8188 |
| Full Name | Kid Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 N Mccarran Blvd Ste 104, Sparks, Nevada |
| Authorized Official Name and Position | Roy Delappe (OWNER/DENTIST) |
| Authorized Official Contact | 7758255005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kid Dental Llc 1301 N Mccarran Blvd Ste 104 Sparks NV 89431-3870 Ph: (775) 825-5005 | Kid Dental Llc 1301 N Mccarran Blvd Ste 104 Sparks NV 89431-3870 Ph: (775) 825-5005 |
| NPI Number | 1518355395 |
|---|---|
| Provider Enumeration Date | 01/02/2015 |
| Last Update Date | 01/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518355395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4833 (Nevada) | Primary |
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