Organization
GREAT SMILE DENTAL PLLC
Active
Other names
Great Smile Dental Las Vegas, Great Smile Dental PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MORALES (DISTRICT MANAGER)
(847) 945-1050
Entity
Organization
Contact information
Practice address
8445 W FLAMINGO RD, LAS VEGAS, NV 89147-4166
(702) 309-0909
(725) 228-7025
Mailing address
720 OSTERMAN AVE STE 304, DEERFIELD, IL 60015-4339
(847) 945-1050
(847) 940-0433
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
09/16/2020
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