Organization
PURERESTORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT VONG DMD (OWNER)
(775) 351-9240
Entity
Organization
Contact information
Practice address
4850 VISTA BLVD STE 100, SPARKS, NV 89436-2858
(775) 626-3535
Mailing address
4850 VISTA BLVD STE 100, SPARKS, NV 89436-2858
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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