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Organization

ADVANCED DENTISTRY BY DESIGN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDALL I WRIGHT DDS (MANAGER)
(775) 883-7244
Entity
Organization

Contact information

Practice address
1001 MOUNTAIN ST, SUITE 3G, CARSON CITY, NV 89703-3822
(775) 883-7244
Mailing address
1001 MOUNTAIN ST, SUITE 3G, CARSON CITY, NV 89703-3822
(775) 883-7244

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2316
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184708877
DR. WRIGHT NPI
NV
01
1477626570
DR. EUSE NPI
NV
Enumeration date
02/09/2007
Last updated
08/22/2020
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