# MARVEL DENTAL CARSON CITY, LLC

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

## Provider details

- **NPI number:** 1265910970
- **Authorized official:** ANGELA K. GOLDEN (CONSULTANT)
- **Authorized official phone:** (775) 884-3322

## Contact information

- **Practice address:** 410 FLEISCHMANN WAY SUITE A., CARSON CITY, NV 89703
- **Practice address phone:** (775) 884-3322
- **Practice address fax:** (775) 884-4432
- **Mailing address:** 410 FLEISCHMANN WAY SUITE A., CARSON CITY, NV 89703
- **Mailing address phone:** (775) 884-3322
- **Mailing address fax:** (775) 884-4432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | 4821 | NV | — |

## Other

- **Enumeration date:** 08/03/2018
- **Last updated:** 11/21/2018