Organization
TRI STATE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN D NGUYEN DMD (OWNER)
(702) 417-1589
Entity
Organization
Contact information
Practice address
450 E SILVERADO RANCH BLVD STE 105, LAS VEGAS, NV 89183-6204
(702) 263-8820
(702) 914-8121
Mailing address
450 E SILVERADO RANCH BLVD STE 105, LAS VEGAS, NV 89183-6204
(702) 263-8820
(702) 914-8121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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