Ponderosa Family Dental
NPI #1730851429 in Carson City, Nevada
Provider Information
- NPI Number
- 1730851429
- Entity Type
- Organization
- Organization Name
- Ponderosa Family Dental
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 30, 2021
- Last Updated
- Sep 30, 2021
Practice Location
- Address
- 307 W WINNIE LN STE 2
- City
- Carson City
- State
- Nevada
- ZIP Code
- 89703-2145
- Phone
- (775) 885-2323
Authorized Official
- Name
- ALETA BEUTER
- Title
- CREDENTIALING SPECIALIST
- Phone
- (775) 409-4614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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