NPI | 1396330106 |
---|---|
Doing Business As | A GREAT SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | BEHNAM YAGHMAI Owner 702-804-5154 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-03-03 |
Last Update Date | 2023-11-06 |