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Organization
LIE CHARLESTON SMILES DENTISTRY, PC
Active
Organization
LIE CHARLESTON SMILES DENTISTRY, PC
Active
Other names
Charleston Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
WANNI LIE (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
1150 S NELLIS BLVD STE 200, LAS VEGAS, NV 89104-5700
(714) 845-8500
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
02/27/2019
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