Organization
SMILE OASIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN MUNDACKAL BABU DDS (OWNER/MANAGING MEMBER)
(347) 952-5205
Entity
Organization
Contact information
Practice address
9085 W POST RD STE 100, LAS VEGAS, NV 89148-2415
(702) 706-8865
Mailing address
9085 W POST RD STE 100, LAS VEGAS, NV 89148-2415
(702) 706-8865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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