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 |
News Archive
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