Organization
BRIAN CHAMBERLAIN UNLIMITED PC
Active
Other names
Supersmile Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHAMBERLAIN DDS (OWNER)
(702) 645-5100
Entity
Organization
Contact information
Practice address
7090 N DURANGO DR STE 120, LAS VEGAS, NV 89149-4495
(702) 645-5100
Mailing address
7090 N DURANGO DR STE 120, LAS VEGAS, NV 89149-4495
(702) 645-5100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
09/03/2021
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