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Organization
WANG BLUE DIAMOND MODERN DENTISTRY, PC
Active
Organization
WANG BLUE DIAMOND MODERN DENTISTRY, PC
Active
Other names
Blue Diamond Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MU-SHYUAN WANG DMD (OWNER)
(702) 760-7912
Entity
Organization
Contact information
Practice address
6980 BLUE DIAMOND RD, STE D-110, LAS VEGAS, NV 89178
(702) 760-7912
(702) 800-4801
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/20/2026
Last updated
09/04/2026
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