| Smile Haven Family Dentistry | |
|
4045 S Eastern Ave Las Vegas NV 89119 | |
| (702) 892-9878 | |
| (702) 892-9073 |
| Full Name | Smile Haven Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4045 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Kohsiu Ku (OWNER DENTIST) |
| Authorized Official Contact | 7028929878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Haven Family Dentistry 4045 S Eastern Ave Las Vegas NV 89119 Ph: (702) 892-9878 | Smile Haven Family Dentistry 4045 S Eastern Ave Las Vegas NV 89119 Ph: (702) 892-9878 |
| NPI Number | 1194907386 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194907386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4996T (Nevada) | Primary |
| 1223G0001X | Dentist - General Practice | 4996T (Nevada) | Secondary |
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