# DILETTANTE INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RANDY HONG
- **Other names:** Avalon Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760795256
- **Legal business name:** RANDY HONG
- **Authorized official:** PAMELA K PROPSTER (OFFICE MANAGER)
- **Authorized official phone:** (702) 638-1005

## Contact information

- **Practice address:** 5465 SIMMONS ST, SUITE 4, NORTH LAS VEGAS, NV 89031-9000
- **Practice address phone:** (702) 638-1005
- **Practice address fax:** (702) 638-1071
- **Mailing address:** 5465 SIMMONS ST, SUITE 4, NORTH LAS VEGAS, NV 89031-9000
- **Mailing address phone:** (702) 638-1005
- **Mailing address fax:** (702) 638-1071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4348 | NV | Yes |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100510098 | — | NV |