# SHIVA KESHMIRI DDS A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Las Vegas Smile Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063929172
- **Authorized official:** SHIVA KESHMIRI DDS (DOCTOR/OWNER)
- **Authorized official phone:** (702) 257-9090

## Contact information

- **Practice address:** 6600 W. CHARLESTON BLVD, \#103, LAS VEGAS, NV 89146
- **Practice address phone:** (702) 433-6825
- **Practice address fax:** (702) 821-1499
- **Mailing address:** 4121 W. SAHARA AVE, LAS VEGAS, NV 89102
- **Mailing address phone:** (702) 257-9090
- **Mailing address fax:** (702) 873-7263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4514 | NV | Yes |

## Other

- **Enumeration date:** 01/10/2018
- **Last updated:** 01/10/2018