Desert Valley Dental of Sparks Inc.

NPI #1902443732 in Sparks, Nevada

Provider Information

NPI Number: 1902443732
Entity Type: Organization
Organization Name: Desert Valley Dental of Sparks Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 27, 2019
Last Updated: Nov 27, 2019

Practice Location

Address: 630 PYRAMID WAY
City: Sparks
State: Nevada
ZIP Code: 89431-5059
Phone: (775) 825-1055

Authorized Official

Name: DR. 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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