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NPI Code Detail

MEDICARE: ROYAL DENTAL, L.L.C.

MEDICARE: ROYAL DENTAL, L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1043310519
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYAL DENTAL, L.L.C.
Provider Business Mailing Address
First Line : 2345 E. CENTENNIAL PKWY.
Second Line : SUITE 110
City : NORTH LAS VEGAS
State : NV
Zip : 89033
Country : US
Telephone Number : 702-987-1356
Fax Number : 702-361-2876
Provider Business Practice Location Address
First Line : 2345 E. CENTENNIAL PKWY.
Second Line : SUITE 110
City : NORTH LAS VEGAS
State : NV
Zip : 89033
Country : US
Telephone Number : 702-987-1356
Fax Number : 702-361-2876
Authorized Official
Title or Position : MANAGER
Name : DR. STEVEN JAMES NGUYEN
Credential : D.D.S.
Telephone Number : 702-987-1356
Provider Enumeration Date : 09/25/2006
Last Update Date : 08/22/2020

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Directions to “ROYAL DENTAL, L.L.C. ” Practice Location

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