Cfd South Meadows LLC

NPI #1912612326 in Reno, Nevada

Provider Information

NPI Number: 1912612326
Entity Type: Organization
Organization Name: Cfd South Meadows LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 19, 2023
Last Updated: Aug 30, 2023

Practice Location

Address: 9598 PROTOTYPE CT STE A
City: Reno
State: Nevada
ZIP Code: 89521-3950
Phone: (775) 234-5595

Authorized Official

Name: JASON CHAMPAGNE
Title: OWNER
Phone: (775) 636-9939

Specialties & Taxonomy Codes

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

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