Organization
HARMONY PEDIATRIC DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATE ROCKWELL (CPA)
(775) 336-1510
Entity
Organization
Contact information
Practice address
37515 SE HWY 26, SANDY, OR 97055
(503) 912-6255
Mailing address
3605 GRANT DR, RENO, NV 89509-5301
(775) 409-4614
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223P0221X
PEDIATRIC DENTISTRY
OR
Enumeration date
10/30/2017
Last updated
07/07/2023
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