Organization
DESERT VALLEY DENTAL OF LAKESIDE CORP
Active
Other names
Desert Valley Dental of Lakeside Corp
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN GOODMAN DDS (OWNER)
(775) 825-1055
Entity
Organization
Contact information
Practice address
3665 LAKESIDE DR, RENO, NV 89509-5280
(775) 825-1055
(775) 825-1084
Mailing address
3665 LAKESIDE DR, RENO, NV 89509-5280
(775) 825-1055
(775) 825-1084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4858
NV
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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