| Northern Nevada Dental Specialties Group, Llc | |
|
5030 Las Brisas Blvd Ste B-3 Reno NV 89523-6239 | |
| (775) 852-6164 | |
| (775) 284-7352 |
| Full Name | Northern Nevada Dental Specialties Group, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5030 Las Brisas Blvd Ste B-3, Reno, Nevada |
| Authorized Official Name and Position | Aleta Valerie Beuter (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7754094614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Nevada Dental Specialties Group, Llc 3605 Grant Dr Reno NV 89509-5301 Ph: (775) 409-4614 | Northern Nevada Dental Specialties Group, Llc 5030 Las Brisas Blvd Ste B-3 Reno NV 89523-6239 Ph: (775) 852-6164 |
| NPI Number | 1043725039 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043725039 | NPI | - | NPPES |
| 1223P0221X | Other | PEDIATRIC DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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