Organization
PURE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS K. SIMISTER DDS (OWNER)
(702) 254-4335
Entity
Organization
Contact information
Practice address
6710 S FORT APACHE RD # 101, LAS VEGAS, NV 89148-5394
(702) 254-4335
(702) 254-7995
Mailing address
6710 S FORT APACHE RD # 101, LAS VEGAS, NV 89148-5394
(702) 254-4335
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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