| NPI | 1760848311 |
|---|---|
| Doing Business As | SMILE SHOP DENTAL AND FACIAL AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | GRACE CHUNG Owner Dentist 702-444-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NV 6572) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2024-01-08 |