Organization
SIMISTER PREMIER ORTHODONTICS
Active
Other names
Simister and Leaver Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS K SIMISTER D.D.S. (OWNER)
(702) 735-4169
Entity
Organization
Contact information
Practice address
2430 E HARMON AVE, SUITE 3, LAS VEGAS, NV 89121-5338
(702) 735-4169
(702) 735-8697
Mailing address
4306 S EASTERN AVE, LAS VEGAS, NV 89119-6016
(702) 735-4169
(702) 735-8697
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3153
—
Other
Enumeration date
08/28/2007
Last updated
02/19/2014
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