| Marvel Dental Carson City, Llc | |
|
410 Fleischmann Way Suite A. Carson City NV 89703 | |
| (775) 884-3322 | |
| (775) 884-4432 |
| Full Name | Marvel Dental Carson City, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 Fleischmann Way Suite A., Carson City, Nevada |
| Authorized Official Name and Position | Angela K. Golden (CONSULTANT) |
| Authorized Official Contact | 7758843322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvel Dental Carson City, Llc 410 Fleischmann Way Suite A. Carson City NV 89703 Ph: (775) 884-3322 | Marvel Dental Carson City, Llc 410 Fleischmann Way Suite A. Carson City NV 89703 Ph: (775) 884-3322 |
| NPI Number | 1265910970 |
|---|---|
| Provider Enumeration Date | 08/03/2018 |
| Last Update Date | 11/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265910970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | 4821 (Nevada) | Secondary |
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