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Organization
MARVEL DENTAL CARSON CITY, LLC
Active
Organization
MARVEL DENTAL CARSON CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA K. GOLDEN (CONSULTANT)
(775) 884-3322
Entity
Organization
Contact information
Practice address
410 FLEISCHMANN WAY SUITE A., CARSON CITY, NV 89703
(775) 884-3322
(775) 884-4432
Mailing address
410 FLEISCHMANN WAY SUITE A., CARSON CITY, NV 89703
(775) 884-3322
(775) 884-4432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
4821
NV
Other
Enumeration date
08/03/2018
Last updated
11/21/2018
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