# NORTHERN NEVADA ORAL AND MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871152884
- **Authorized official:** CHRISTOPHER GALEA (MANAGING MEMBER)
- **Authorized official phone:** (775) 825-0285

## Contact information

- **Practice address:** 5456 RENO CORPORATE DR, RENO, NV 89511-2250
- **Practice address phone:** (775) 825-0285
- **Mailing address:** 290 BRINKBY AVE, RENO, NV 89509-4348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2019
- **Last updated:** 10/21/2022