| NPI | 1841021045 |
|---|---|
| Doing Business As | CHILDRENS DENTISTRY OF RENO |
| Entity Type | Organization |
| Authorized Contact | JASON CHAMPAGNE Owner 775-462-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-11-08 |