| NPI | 1851173785 |
|---|---|
| Doing Business As | DISTINCTIVE SMILES |
| Entity Type | Organization |
| Authorized Contact | ZACHARY D SOARD Owner 702-742-5824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |