Organization
LEGENDARY SMILES ORTHODONTICS LLC
Active
Organization
LEGENDARY SMILES ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATE ROCKWELL (MANAGER)
(775) 336-1510
Entity
Organization
Contact information
Practice address
5220 NEIL RD., STE. 110, RENO, NV 89502
(775) 336-1510
(775) 336-1510
Mailing address
3605 GRANT DR, RENO, NV 89509-5301
(775) 336-1510
(775) 432-6001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
03/17/2018
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