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Kid Dental Hospital Program Llc
Pediatric Dentist in Reno, Nevada
NPI 1134701733

Kid Dental Hospital Program Llc is a Pediatric Dentist based in Reno, NV and is specialized in Pediatric Dentistry. Kid Dental Hospital Program Llc practices in Reno, NV. The NPI Number for Kid Dental Hospital Program Llc is 1134701733 and holds a License No. (Nevada).

The current practice location address for Kid Dental Hospital Program Llc is 3645 Warren Way, Reno, NV and can be reached out via phone at 775-825-5005.

Location: 3645 Warren Way, Reno, NV, 89509-4734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134701733
Provider Name
Kid Dental Hospital Program Llc
Credential
Provider Entity Type
Organization
Address
3645 Warren Way, Reno, NV, 89509-4734
Phone Number
775-825-5005
Fax Number
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4833 01 NEVADA DENTAL BOARD
institution
Provider Business Practice Location Address Details
Address
3645 Warren Way
City
Reno
State
Nevada
Zip
89509-5241
Phone Number
775-825-5005
Fax Number
person
Provider Business Mailing Address Details
Address
3645 Warren Way
City
Reno
State
Nevada
Zip
89509-5241
Phone Number
775-825-5005
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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