An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Dentistry |
1223P0221X | |||
Endodontics |
1223E0200X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Orthodontics and Dentofacial Orthopedics |
1223X0400X |
| NPI # | 1134584055 |
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| LBN Legal business name | NORTHERN NEVADA SPECIALTY PRADA, PLLC | ||||
| Authorized official | PATRICIA PRADA - (MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 12/18/2015 | ||||
| Last updated | 12/18/2015 - About 10 years ago | ||||
| Identifiers |
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