Organization
ELEGANT SMILES, LLC
Active
Other names
Elegant Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHI PHAN DDS (MANAGING MEMBER)
(702) 805-4555
Entity
Organization
Contact information
Practice address
6910 S CIMARRON RD STE 200, LAS VEGAS, NV 89113-2135
(702) 805-4555
(702) 500-0416
Mailing address
6910 S CIMARRON RD STE 200, LAS VEGAS, NV 89113-2280
(702) 805-4555
(702) 500-0416
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2018
Last updated
09/10/2020
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