Organization
NORTHERN NEVADA DENTAL SPECIALTIES GROUP
Active
Other names
My Kid's Smile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J JUSTIN WILKERSON DDS (MANAGER)
(775) 823-9797
Entity
Organization
Contact information
Practice address
10645 DOUBLE R BLVD, RENO, NV 89521-8920
(775) 852-6164
(775) 284-7352
Mailing address
10645 DOUBLE R BLVD, RENO, NV 89521-8920
(775) 852-6164
(775) 284-7352
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-20
NV
Other
Enumeration date
04/24/2012
Last updated
11/05/2014
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