| NPI | 1194907386 |
|---|---|
| Doing Business As | SMILE HAVEN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KOHSIU KU Owner Dentist 702-892-9878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 4996T) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 4996T) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2013-10-14 |