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Organization
NORTHERN NEVADA DENTAL HEALTH PROGRAMS
Active
Organization
NORTHERN NEVADA DENTAL HEALTH PROGRAMS
Active
Other names
Healthy Smile Healthy Child
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J PISANI DDS (PRESIDENT)
(775) 337-0296
Entity
Organization
Contact information
Practice address
5605 RIGGINS CT STE 101A, RENO, NV 89502-6575
(775) 982-7989
(775) 337-0298
Mailing address
5605 RIGGINS CT STE 101A, RENO, NV 89502-6575
(775) 982-7989
(775) 337-0298
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002216008
—
NV
05
—
002216200
—
NV
Enumeration date
03/24/2008
Last updated
03/17/2018
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