Tri State Dental

NPI #1578153276 in Las Vegas, Nevada

Provider Information

NPI Number: 1578153276
Entity Type: Organization
Organization Name: Tri State Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 26, 2021
Last Updated: Jan 26, 2021

Practice Location

Address: 450 E SILVERADO RANCH BLVD STE 105
City: Las Vegas
State: Nevada
ZIP Code: 89183-6204
Phone: (702) 263-8820

Authorized Official

Name: DR. BRIAN D NGUYEN, DMD
Title: OWNER
Phone: (702) 417-1589

Specialties & Taxonomy Codes

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

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