| Desert Valley Dental Of Sparks Inc. | |
|
630 Pyramid Way Sparks NV 89431-5059 | |
| (775) 825-1055 | |
| Not Available |
| Full Name | Desert Valley Dental Of Sparks Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 630 Pyramid Way, Sparks, Nevada |
| Authorized Official Name and Position | Robyn Goodman (OWNER) |
| Authorized Official Contact | 7758251055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Valley Dental Of Sparks Inc. 3665 Lakeside Dr Reno NV 89509-5399 Ph: (775) 825-1055 | Desert Valley Dental Of Sparks Inc. 630 Pyramid Way Sparks NV 89431-5059 Ph: (775) 825-1055 |
| NPI Number | 1902443732 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 11/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902443732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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