# KID DENTAL CARSON CITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** First Care Kid Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679139257
- **Authorized official:** ANGELA K. GOLDEN (MEMBER/OWNER)
- **Authorized official phone:** (775) 846-4777

## Contact information

- **Practice address:** 314 W FIFTH ST, CARSON CITY, NV 89703-4604
- **Practice address phone:** (775) 882-1111
- **Practice address fax:** (775) 525-5512
- **Mailing address:** 2745 BEACH RIVER DR, RENO, NV 89521-6223
- **Mailing address phone:** (775) 846-4777
- **Mailing address fax:** (775) 525-5512

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2019
- **Last updated:** 05/19/2019