Organization
GHAZAL LAS VEGAS MODERN SMILES DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN GHAZAL (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
3119 N RAINBOW BLVD, LAS VEGAS, NV 89108-4578
(702) 342-1604
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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