# DESERT VALLEY DENTAL OF TRIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert Valley Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447616966
- **Authorized official:** DR. ROBYN GOODMAN DDS (OWNER)
- **Authorized official phone:** (775) 971-3971

## Contact information

- **Practice address:** 420 USA PKWY, SUITE 105, MCCARRAN, NV 89434-5612
- **Practice address phone:** (775) 425-1000
- **Practice address fax:** (888) 279-7992
- **Mailing address:** 3665 LAKESIDE DR, RENO, NV 89509-5280
- **Mailing address phone:** (775) 825-1055
- **Mailing address fax:** (775) 825-1084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4858 | NV | Yes |

## Other

- **Enumeration date:** 01/13/2016
- **Last updated:** 01/13/2016