Organization
VISTA SMILE LLC
Active
Organization
VISTA SMILE LLC
Active
Other names
Affordable Braces
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND PISCHINGER (INSURANCE DEPARTMENT MANAGER)
(702) 522-2028
Entity
Organization
Contact information
Practice address
2600 S RAINBOW BLVD, 101, LAS VEGAS, NV 89146
(702) 733-7645
(702) 823-0410
Mailing address
2101 S JONES BLVD STE 140, LAS VEGAS, NV 89146-3133
(702) 522-2269
(702) 990-8856
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-82C
NV
Other
Enumeration date
11/13/2013
Last updated
06/27/2018
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