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Organization
PARADISE VILLAGE DENTAL
Active
Organization
PARADISE VILLAGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRANG NGUYEN (OWNER)
(702) 735-1096
Entity
Organization
Contact information
Practice address
518 E ST. LOUIS AVE, LAS VEGAS, NV 89104-2509
(702) 735-1096
(702) 735-2490
Mailing address
518 E ST. LOUIS AVE, LAS VEGAS, NV 89104-2509
(702) 735-1096
(702) 735-2490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4709
NV
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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