Individual
TONI L LUDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 HEATHER FIELD LN, RENO, NV 89521-5299
(801) 395-0997
Mailing address
2645 HEATHER FIELD LN, RENO, NV 89521-5299
(801) 935-0997
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
02/10/2020
Last updated
02/10/2020
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