Desert Valley Dental of Lakeside Corp

NPI #1083190078 in Reno, Nevada

Provider Information

NPI Number: 1083190078
Entity Type: Organization
Organization Name: Desert Valley Dental of Lakeside Corp
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 13, 2018
Last Updated: Jul 13, 2018

Practice Location

Address: 3665 LAKESIDE DR
City: Reno
State: Nevada
ZIP Code: 89509-5280
Phone: (775) 825-1055

Authorized Official

Name: ROBYN GOODMAN, DDS
Title: OWNER
Phone: (775) 825-1055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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