Organization
JASON CHAMPAGNE IX PLLC
Active
Other names
Childrens Dentistry Of Reno
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CHAMPAGNE (OWNER)
(775) 462-3111
Entity
Organization
Contact information
Practice address
3645 WARREN WAY, RENO, NV 89509-5241
(775) 462-3111
Mailing address
PO BOX 2070, SPARKS, NV 89432-2070
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
11/08/2024
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