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Organization

KID DENTAL HOSPITAL PROGRAM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROY DELAPPE DDS (OWNER DENTIST)
(775) 420-4400
Entity
Organization

Contact information

Practice address
3645 WARREN WAY, RENO, NV 89509-5241
(775) 825-5005
Mailing address
1101 W MOANA LN STE 14, RENO, NV 89509-4734
(775) 420-4400
(775) 420-4776

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4833
NEVADA DENTAL BOARD
Enumeration date
04/22/2021
Last updated
04/22/2021
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