Individual provider · Type 1 NPI

Ignacio Reina Madrid Iv, DDS

Student in an Organized Health Care Education/Training Program · Henderson, NV

NPI number 1386221968 Active

Practice location

4 Sunset Way
Henderson, NV 89014-2015

Call (702) 968-5222 Map

Mailing address

2029 Star Pine Way
San Leandro, CA 94577-1362

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386221968

Ignacio Reina Madrid Iv, DDS's National Provider Identifier is 1386221968, issued on Mar 28, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Henderson, NV. The record was last updated on Mar 28, 2021.