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ADVANCED DENTISTRY OF NEVADA 1912674466

Overview
Name: ADVANCED DENTISTRY OF NEVADA Specialty: Dental Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Dental. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: ADVANCED DENTISTRY OF NEVADA,1701 W AUSTIN BLVD,NEVADA,MO,647723720,US Mailing Address: ADVANCED DENTISTRY OF NEVADA,1701 W AUSTIN BLVD,NEVADA,MO,647723720,US
Contact #
Practice location phone #: 4176677134 Practice location fax #: Mailing address Phone #: Mailing Address fax #: Authorized official Name/Telephone #:DR., TREY, K, KALBAUGH, SOLE MBR 4173938613
Misc
Date NPI was obtained: 08/24/2021 Last data data was updated: 08/24/2021 Insurances:

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