# SUPREME DENTAL

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

## Provider details

- **NPI number:** 1457205668
- **Authorized official:** MASON TRAN DDS (OWNER)
- **Authorized official phone:** (702) 333-0060

## Contact information

- **Practice address:** 6255 S DURANGO DR STE 108, LAS VEGAS, NV 89113-2292
- **Practice address phone:** (702) 333-0060
- **Practice address fax:** (702) 333-1574
- **Mailing address:** 6255 S DURANGO DR STE 108, LAS VEGAS, NV 89113-2292
- **Mailing address phone:** (702) 333-0060
- **Mailing address fax:** (702) 333-1574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2026
- **Last updated:** 02/24/2026