| NPI | 1588812499 |
|---|---|
| Doing Business As | DISTINCTIVE SMILES |
| Entity Type | Organization |
| Authorized Contact | VIRRA LEE Office Manager 702-456-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4344) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2013-05-10 |