| NPI | 1619791522 |
|---|---|
| Doing Business As | SIERRA KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JASON CHAMPAGNE Owner 775-357-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |