Organization
KID DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY J DELAPPE D.D.S (OWNER/MANAGER)
(775) 412-1070
Entity
Organization
Contact information
Practice address
1101 W MOANA LN, SUITE #4, RENO, NV 89509-4775
(775) 412-1070
Mailing address
1101 W MOANA LN, SUITE #4, RENO, NV 89509-4775
(775) 412-1070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4833
NV
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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