Organization
SMILES OF ALASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY CHI HU (OWNER)
(907) 262-6466
Entity
Organization
Contact information
Practice address
880 SEVEN HILLS DR STE 180, HENDERSON, NV 89052-4380
(702) 478-8869
Mailing address
880 SEVEN HILLS DR STE 180, HENDERSON, NV 89052-4380
(702) 478-8869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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