| NPI | 1962978601 |
|---|---|
| Doing Business As | ELEGANT SMILES |
| Entity Type | Organization |
| Authorized Contact | PHI PHAN Managing Member 702-805-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2020-09-10 |