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475 Sparks Blvd Suite 101 Sparks NV 89434-9002 | |
(775) 359-1565 | |
(775) 359-1597 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 475 Sparks Blvd, Sparks, Nevada |
Authorized Official Name and Position | Ali Shahrestani (CREDENTIALING ADMINISTRATOR) |
Authorized Official Contact | 7148458704 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 475 Sparks Blvd Suite 101 Sparks NV 89434-9002 Ph: (775) 359-1565 |
NPI Number | 1760861447 |
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Provider Enumeration Date | 05/27/2015 |
Last Update Date | 05/27/2015 |
Identifier | Type | State | Issuer |
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1760861447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (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 | |