| NPI | 1053117473 | 
|---|---|
| Doing Business As | SPANISH SPRINGS FAMILY DENTAL | 
| Entity Type | Organization | 
| Authorized Contact | JASON CHAMPAGNE Owner 775-626-6556  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2025-02-25 | 
| Last Update Date | 2025-02-25 |