Kid Dental, LLC

NPI #1912206335 in Reno, Nevada

Provider Information

NPI Number: 1912206335
Entity Type: Organization
Organization Name: Kid Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 24, 2011
Last Updated: Mar 24, 2011

Practice Location

Address: 1101 W MOANA LN
Address 2: SUITE #4
City: Reno
State: Nevada
ZIP Code: 89509-4775
Phone: (775) 412-1070

Authorized Official

Name: DR. ROY J DELAPPE, D.D.S
Title: OWNER/MANAGER
Phone: (775) 412-1070

Specialties & Taxonomy Codes

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

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