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Organization
CENTER FOR DENTAL AESTHETICS PLLC
Active
Organization
CENTER FOR DENTAL AESTHETICS PLLC
Active
Other names
Vegas Smile Suite
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTA REYES (CREDENTIALING MANAGER)
(972) 869-3789
Entity
Organization
Contact information
Practice address
7160 RAFAEL RIVERA WAY STE 130, LAS VEGAS, NV 89113-5394
(702) 357-4111
(702) 924-4857
Mailing address
7160 RAFAEL RIVERA WAY STE 130, LAS VEGAS, NV 89113-5394
(702) 357-4111
(702) 924-4857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
12/20/2022
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