| NPI | 1083190078 |
|---|---|
| Doing Business As | DESERT VALLEY DENTAL OF LAKESIDE CORP |
| Entity Type | Organization |
| Authorized Contact | ROBYN GOODMAN Owner 775-825-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4858) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |