| Elegant Smiles | |
|
6910 S Cimarron Rd Ste 200 Las Vegas NV 89113-2135 | |
| (702) 805-4555 | |
| (702) 500-0416 |
| Full Name | Elegant Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6910 S Cimarron Rd Ste 200, Las Vegas, Nevada |
| Authorized Official Name and Position | Phi Phan (MANAGING MEMBER) |
| Authorized Official Contact | 7028054555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elegant Smiles 6910 S Cimarron Rd Ste 200 Las Vegas NV 89113-2280 Ph: (702) 805-4555 | Elegant Smiles 6910 S Cimarron Rd Ste 200 Las Vegas NV 89113-2135 Ph: (702) 805-4555 |
| NPI Number | 1962978601 |
|---|---|
| Provider Enumeration Date | 10/21/2018 |
| Last Update Date | 09/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962978601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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