Ruby Mountain Dental LLC

NPI #1700367190 in Wells, Nevada

Provider Information

NPI Number: 1700367190
Entity Type: Organization
Organization Name: Ruby Mountain Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 24, 2018
Last Updated: Aug 24, 2018

Practice Location

Address: 1000 HUMBOLDT AVE STE A
City: Wells
State: Nevada
ZIP Code: 89835
Phone: (775) 752-3056

Authorized Official

Name: DR. TRAVIS TRENT SHEPHERD, DMD
Title: DENTIST/OWNER
Phone: (775) 752-3056

Specialties & Taxonomy Codes

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

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