Kid Dental LLC

NPI #1518355395 in Sparks, Nevada

Provider Information

NPI Number: 1518355395
Entity Type: Organization
Organization Name: Kid Dental LLC
Subpart: Yes (part of a larger organization)
Parent Organization: KID DENTAL LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 2, 2015
Last Updated: Jan 2, 2015

Practice Location

Address: 1301 N MCCARRAN BLVD STE 104
City: Sparks
State: Nevada
ZIP Code: 89431-3870
Phone: (775) 825-5005

Authorized Official

Name: ROY DELAPPE, DDS
Title: OWNER/DENTIST
Phone: (775) 825-5005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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