Individual
TYSON LEBEDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5465 KIETZKE LN, RENO, NV 89511-1088
(775) 826-2244
Mailing address
5465 KIETZKE LN, RENO, NV 89511-1088
(775) 826-2244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6315
NV
Other
Enumeration date
08/01/2012
Last updated
08/08/2012
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