Organization
AUSTIN COPE DMD LLC
Active
Other names
Wildcreek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN COPE DMD (OWNER)
(916) 220-7620
Entity
Organization
Contact information
Practice address
4650 WEDEKIND RD STE 1, SPARKS, NV 89431-7722
(775) 356-8254
(775) 356-1446
Mailing address
4650 WEDEKIND RD STE 1, SPARKS, NV 89431-7722
(775) 356-8254
(775) 356-1446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6865
NV
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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