# DESERT VALLEY DENTAL DAMONTE INC

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

## Provider details

- **NPI number:** 1619591906
- **Authorized official:** ROBYN GOODMAN DDS (OWNER)
- **Authorized official phone:** (775) 971-3971

## Contact information

- **Practice address:** 1101 STEAMBOAT PKWY STE 310, RENO, NV 89521-6078
- **Practice address phone:** (775) 971-3971
- **Practice address fax:** (775) 971-3973
- **Mailing address:** 5990 SILVER LAKE RD, RENO, NV 89506-2303
- **Mailing address phone:** (775) 971-3971
- **Mailing address fax:** (775) 971-3973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2020
- **Last updated:** 06/02/2020
