| 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 |