Organization
CLEAR CREEK DENTAL, LLC
Active
Other names
Clear Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK LEWIS HARRINGTON DDS (OWNER)
(775) 267-2244
Entity
Organization
Contact information
Practice address
3790 US HIGHWAY 395 S, STE 103, CARSON CITY, NV 89705-6898
(775) 267-2244
(775) 267-2115
Mailing address
3790 US HIGHWAY 395 S, STE 103, CARSON CITY, NV 89705-6898
(775) 267-2244
(775) 267-2115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
868
NV
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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