# BROWN SPRING VALLEY MODERN DENTISTRY, PC

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

## Provider details

- **NPI number:** 1629738000
- **Authorized official:** JENNIFER BROWN (OWNER)
- **Authorized official phone:** (714) 845-8500

## Contact information

- **Practice address:** 8402 W WARM SPRINGS RD, LAS VEGAS, NV 89113-3624
- **Practice address phone:** (702) 879-9043
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2021
- **Last updated:** 12/27/2021