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Organization
NORTHWEST RENO SMILES DENTAL GROUP
Active
Organization
NORTHWEST RENO SMILES DENTAL GROUP
Active
Other names
Pacific Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAHRESTANI DMD (OWNER DOCTOR)
(702) 413-3334
Entity
Organization
Contact information
Practice address
5150 MAE ANNE AVE, SUITE 810A, RENO, NV 89523-1858
(775) 747-0680
(775) 747-0681
Mailing address
5150 MAE ANNE AVE, SUITE 810A, RENO, NV 89523-1858
(775) 747-0680
(775) 747-0681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6702
NV
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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