Desert Valley Dental of Tric

NPI #1447616966 in Mccarran, Nevada

Provider Information

NPI Number: 1447616966
Entity Type: Organization
Organization Name: Desert Valley Dental of Tric
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 13, 2016
Last Updated: Jan 13, 2016

Practice Location

Address: 420 USA PKWY
Address 2: SUITE 105
City: Mccarran
State: Nevada
ZIP Code: 89434-5612
Phone: (775) 425-1000

Authorized Official

Name: DR. ROBYN GOODMAN, DDS
Title: OWNER
Phone: (775) 971-3971

Specialties & Taxonomy Codes

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

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