Organization
MARINA HILLS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PETERSEN DDS (OWNER/DENTIST)
(775) 738-3110
Entity
Organization
Contact information
Practice address
282 SPRING CREEK PKWY, STE. 202, SPRING CREEK, NV 89815-5822
(775) 738-3110
(775) 738-3114
Mailing address
282 SPRING CREEK PKWY, STE. 202, SPRING CREEK, NV 89815-5822
(775) 738-3110
(775) 738-3114
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6673
NV
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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