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Organization
ELEGANT SMILES, LLC
Active
Organization
ELEGANT SMILES, LLC
Active
Other names
Elegant Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHI PHAN DDS (MANAGING MEMBER)
(702) 805-4555
Entity
Organization
Contact information
Practice address
6910 S CIMARRON RD STE 200, LAS VEGAS, NV 89113-2135
(702) 805-4555
(702) 500-0416
Mailing address
6910 S CIMARRON RD STE 200, LAS VEGAS, NV 89113-2280
(702) 805-4555
(702) 500-0416
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2018
Last updated
09/10/2020
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