NPI | 1407877921 |
---|---|
Doing Business As | SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | RICHARD ALLEN NGUYEN Manager 702-450-7971 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-08-22 |