# PARADISE VILLAGE DENTAL

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

## Provider details

- **NPI number:** 1487989448
- **Authorized official:** TRANG NGUYEN (OWNER)
- **Authorized official phone:** (702) 735-1096

## Contact information

- **Practice address:** 518 E ST. LOUIS AVE, LAS VEGAS, NV 89104-2509
- **Practice address phone:** (702) 735-1096
- **Practice address fax:** (702) 735-2490
- **Mailing address:** 518 E ST. LOUIS AVE, LAS VEGAS, NV 89104-2509
- **Mailing address phone:** (702) 735-1096
- **Mailing address fax:** (702) 735-2490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4709 | NV | Yes |

## Other

- **Enumeration date:** 10/08/2009
- **Last updated:** 10/08/2009