Individual
AH REUM PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5015 PYRAMID WAY, #113, SPARKS, NV 89436-7746
(775) 424-3000
(775) 424-3005
Mailing address
815 KILEY PKWY, #1707, SPARKS, NV 89436-4076
(480) 414-0660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6453
NV
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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