Organization
SUMMIT SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GOLDEN (MANAGEMENT CONSULTANT)
(775) 846-4777
Entity
Organization
Contact information
Practice address
10595 DOUBLE R BLVD, RENO, NV 89521-8909
(775) 825-8463
(775) 332-8466
Mailing address
10595 DOUBLE R BLVD, RENO, NV 89521-8909
(775) 825-8463
(775) 332-8466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4783
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0664
NEVADA DENTAL BOARD OF EXAMINERS
NV
Enumeration date
12/13/2017
Last updated
12/13/2017
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