Organization
LIE CHARLESTON SMILES DENTISTRY, PC
Active
Other names
Charleston Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
WANNI LIE (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
1150 S NELLIS BLVD STE 200, LAS VEGAS, NV 89104-5700
(714) 845-8500
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
02/27/2019
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