Organization
KTS ENTERPRISE
Active
Other names
Wonderful Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH NGUYEN (OFFICE MANAGER)
(702) 457-5335
Entity
Organization
Contact information
Practice address
7211 S EASTERN AVE, STE 110, LAS VEGAS, NV 89119-4574
(702) 737-1221
(702) 617-3594
Mailing address
2755 S NELLIS BLVD, STE 12, LAS VEGAS, NV 89121-7549
(702) 457-5335
(702) 457-3848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4603
NV
Other
Enumeration date
08/10/2009
Last updated
12/26/2012
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