Carson City Pediatric Dentistry, LLC
NPI #1730486747 in Carson City, Nevada
Provider Information
- NPI Number
- 1730486747
- Entity Type
- Organization
- Organization Name
- Carson City Pediatric Dentistry, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 28, 2011
- Last Updated
- Sep 16, 2011
Practice Location
- Address
- 4530 S CARSON ST STE 5
- City
- Carson City
- State
- Nevada
- ZIP Code
- 89701-6914
- Phone
- (702) 308-6556
Authorized Official
- Name
- DR. KEVIN OLSON, D.M.D.
- Title
- MANAGER
- Phone
- (775) 461-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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