# PARKWAY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225253925
- **Authorized official:** DR. RONRICO ARCANGEL MANGAPIT D.M.D., P.C. (DENTIST)
- **Authorized official phone:** (702) 384-3461

## Contact information

- **Practice address:** 210 S. MARYLAND PARKWAY, SUITE A, LAS VEGAS, NV 89101-5361
- **Practice address phone:** (702) 384-3461
- **Practice address fax:** (702) 384-2377
- **Mailing address:** 210 S. MARYLAND PARKWAY, SUITE A, LAS VEGAS, NV 89101-5361
- **Mailing address phone:** (702) 384-3461
- **Mailing address fax:** (702) 384-2377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4156 | NV | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 06/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100510354 | — | NV |
