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Organization
RACHEL MISMAS DDS LLC
Active
Organization
RACHEL MISMAS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL ANNE MISMAS DDS (MANAGING MEMBER)
(323) 334-6058
Entity
Organization
Contact information
Practice address
7035 W ANN RD STE 110, LAS VEGAS, NV 89130-3867
(702) 396-2929
(702) 658-6435
Mailing address
7035 W ANN RD STE 110, LAS VEGAS, NV 89130-3867
(702) 396-2929
(702) 658-6435
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619015831
NPI
CA
Enumeration date
10/20/2020
Last updated
10/20/2020
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