| Smile Shop Dental And Facial Aesthetics | |
|
680 S Green Valley Pkwy Ste 100 Henderson NV 89052-0438 | |
| (702) 444-7771 | |
| (702) 444-7934 |
| Full Name | Smile Shop Dental And Facial Aesthetics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 680 S Green Valley Pkwy Ste 100, Henderson, Nevada |
| Authorized Official Name and Position | Grace Chung (OWNER DENTIST) |
| Authorized Official Contact | 7024447771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Shop Dental And Facial Aesthetics 680 S Green Valley Pkwy Ste 100 Henderson NV 89052-0438 Ph: (702) 444-7771 | Smile Shop Dental And Facial Aesthetics 680 S Green Valley Pkwy Ste 100 Henderson NV 89052-0438 Ph: (702) 444-7771 |
| NPI Number | 1760848311 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760848311 | NPI | - | NPPES |
| 1295139905 | Other | NPI TYPE 1 | |
| 1003265091 | Other | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6572 (Nevada) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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