Organization
SALA FAMILY DENTISTRY PEDO, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD GRAY DDS (PEDO ORTHO MANAGER)
(775) 322-2061
Entity
Organization
Contact information
Practice address
4875 SUMMIT RIDGE DR, RENO, NV 89523-7936
(775) 322-2061
Mailing address
4875 SUMMIT RIDGE DR, RENO, NV 89523-7936
(775) 322-2061
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-40
NV
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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