| NPI | 1366115453 |
|---|---|
| Doing Business As | SUPERSMILE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRIAN CHAMBERLAIN Owner 702-645-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-09-03 |