Individual
AIMEE NICOLE SNELL-KILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1789 COLLEGE PKWY, STE 110, CARSON CITY, NV 89706-7997
(775) 887-9453
(775) 887-8915
Mailing address
1789 COLLEGE PKWY, STE 121, CARSON CITY, NV 89706-7997
(775) 887-9453
(775) 887-8915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019321
MI
1223G0001X
General Practice Dentistry
2901019321
MI
1223P0221X
Pediatric Dentistry
Primary
5794
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245433044
—
NV
Enumeration date
06/08/2007
Last updated
09/28/2016
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