Organization
THE DENTISTS' OFFICE FERNLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATE ROCKWELL (CFO)
(775) 336-1510
Entity
Organization
Contact information
Practice address
90 FALCON DR STE 110, FERNLEY, NV 89408-4729
(775) 336-1510
Mailing address
3605 GRANT DRIVE, RENO, NV 89509
(775) 336-1510
(775) 823-5218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223P0221X
GENERAL DENTISTRY
NV
Enumeration date
06/12/2017
Last updated
07/06/2023
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