# SUGAR SMILES LLC

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

## Provider details

- **NPI number:** 1720504566
- **Authorized official:** AMY TONGSIRI (OWNER)
- **Authorized official phone:** (702) 551-4514

## Contact information

- **Practice address:** 5670 W FLAMINGO RD STE B, LAS VEGAS, NV 89103-2338
- **Practice address phone:** (702) 364-2373
- **Mailing address:** 5670 W FLAMINGO RD STE B, LAS VEGAS, NV 89103-2338
- **Mailing address phone:** (702) 364-2373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1578697322 | DENTIST | NV |
| 01 | — | 1760631295 | DENTIST | NV |