| Ponderosa Family Dental | |
|
307 W Winnie Ln Ste 2 Carson City NV 89703-2145 | |
| (775) 885-2323 | |
| Not Available |
| Full Name | Ponderosa Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 307 W Winnie Ln Ste 2, Carson City, Nevada |
| Authorized Official Name and Position | Aleta Beuter (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7754094614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponderosa Family Dental 3605 Grant Dr Reno NV 89509-5301 Ph: () - | Ponderosa Family Dental 307 W Winnie Ln Ste 2 Carson City NV 89703-2145 Ph: (775) 885-2323 |
| NPI Number | 1730851429 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730851429 | NPI | - | NPPES |
| 000 | Other | NO OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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