| Carson City Pediatric Dentistry | |
|
4530 S Carson St Ste 5 Carson City NV 89701-6914 | |
| (775) 461-3800 | |
| (775) 461-3801 |
| Full Name | Carson City Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4530 S Carson St Ste 5, Carson City, Nevada |
| Authorized Official Name and Position | Kevin Olson (MANAGER) |
| Authorized Official Contact | 7754613800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson City Pediatric Dentistry 4530 S Carson St Ste 5 Carson City NV 89701-6914 Ph: (775) 461-3800 | Carson City Pediatric Dentistry 4530 S Carson St Ste 5 Carson City NV 89701-6914 Ph: (775) 461-3800 |
| NPI Number | 1134662679 |
|---|---|
| Provider Enumeration Date | 12/01/2016 |
| Last Update Date | 12/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134662679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | S6-109 (Nevada) | Primary |
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