Provider Demographics
NPI:1942375365
Name:DUMITRU DENTISTRY LTD
Entity Type:Organization
Organization Name:DUMITRU DENTISTRY LTD
Other - Org Name:VIRGIN VALLEY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:DUMITRU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-346-3880
Mailing Address - Street 1:760 W PIONEER BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-8820
Mailing Address - Country:US
Mailing Address - Phone:702-346-3880
Mailing Address - Fax:702-346-6290
Practice Address - Street 1:760 W PIONEER BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-8820
Practice Address - Country:US
Practice Address - Phone:702-346-3880
Practice Address - Fax:702-346-6290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV33501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty