| NPI | 1316323082 |
|---|---|
| Doing Business As | DISTINCTIVE SMILES |
| Entity Type | Organization |
| Authorized Contact | LYNN LEE Office Manager 702-456-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |