Organization
SUGAR SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY TONGSIRI (OWNER)
(702) 551-4514
Entity
Organization
Contact information
Practice address
5670 W FLAMINGO RD STE B, LAS VEGAS, NV 89103-2338
(702) 364-2373
Mailing address
5670 W FLAMINGO RD STE B, LAS VEGAS, NV 89103-2338
(702) 364-2373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578697322
DENTIST
NV
01
—
1760631295
DENTIST
NV
Enumeration date
08/14/2017
Last updated
07/21/2022
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