NPI 1265096630
Cde Venture LLC
Practice location
- Address
- 2578 Idaho St, Elko, NV 89801-4601
- Phone
- (775) 299-4790
- Fax
- (775) 738-0495
- Mailing address
- 6339 S Vinecrest Dr, Salt Lake City, UT 84121-2426
Authorised official
- Name
- Brian Craig Anderson
- Title
- Owner
- Phone
- (801) 891-5580
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1265096630
- Entity type
- Organization
- NPI issued
- 30 Apr 2019
- Record last updated
- 30 Apr 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.