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Organization
GHAZAL LAS VEGAS MODERN SMILES DENTISTRY, PC
Active
Organization
GHAZAL LAS VEGAS MODERN SMILES DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN GHAZAL (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
3119 N RAINBOW BLVD, LAS VEGAS, NV 89108-4578
(702) 342-1604
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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