NPI | 1174398416 |
---|---|
Doing Business As | VEGAS SMILES |
Entity Type | Organization |
Authorized Contact | JONATHAN WELCH Managing Member 702-371-0221 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2023-11-16 |
Last Update Date | 2024-02-15 |