Organization
P&G SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANTI BOLLU D.M.D., M.S., M.B.A. (OWNER/DOCTOR)
(617) 849-0751
Entity
Organization
Contact information
Practice address
2871 N TENAYA WAY, LAS VEGAS, NV 89128-0452
(702) 341-8668
(702) 341-7044
Mailing address
2871 N TENAYA WAY, LAS VEGAS, NV 89128-0452
(702) 341-8668
(702) 341-7044
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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