Organization
NORTHERN NEVADA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LITTLEJOHN K VANHORN DDS (MANAGER)
(775) 626-7772
Entity
Organization
Contact information
Practice address
5901 S LOS ALTOS PKWY STE 100, SPARKS, NV 89436-7667
(775) 626-7772
(775) 626-7811
Mailing address
5901 S LOS ALTOS PKWY STE 100, SPARKS, NV 89436-7667
(775) 626-7772
(775) 626-7811
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5122
NV
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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