# MILES OF SMILES VENTURES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235329210
- **Authorized official:** SHERILL BANKS (OFFICE MANAGER)
- **Authorized official phone:** (702) 639-3515

## Contact information

- **Practice address:** 4040 N. MARTIN LUTHER KING, STE B., LAS VEGAS, NV 89032-3205
- **Practice address phone:** (702) 639-3515
- **Practice address fax:** (702) 639-3516
- **Mailing address:** 4040 N. MARTIN LUTHER KING, STE B., LAS VEGAS, NV 89032-3205
- **Mailing address phone:** (702) 639-3515
- **Mailing address fax:** (702) 639-3516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4522T | NV | Yes |
| 1223G0001X | General Practice Dentistry | 4522T | NV | — |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 03/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100502976 | — | NV |
| 05 | — | 100506669 | — | NV |