Organization
DENTAL ANESTHESIA OF NEVADA, LLC
Active
Organization
DENTAL ANESTHESIA OF NEVADA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE DELONG (CEO)
(775) 336-1510
Entity
Organization
Contact information
Practice address
10645 DOUBLE R BLVD, RENO, NV 89521-8920
(775) 852-6164
Mailing address
3605 GRANT DR, RENO, NV 89509-5301
(775) 409-4614
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235487745
—
NV
Enumeration date
12/09/2020
Last updated
12/09/2020
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