Organization · NPI-2

A Beautiful Smile

Dentist, General Practice · Las Vegas, NV

NPI number1831235134
StatusActive
Last updated in NPPESJun 13, 2008

Details

NPI
1831235134
Entity type
Organization (NPI-2)
Legal business name
A Beautiful Smile
Organization subpart
No
Enumeration date
Jan 30, 2007
Last updated
Jun 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2679NVYes

Other names

  • Nevada Tmj Institute (Other Name)

Practice location

2471 Professional Ct
Las Vegas, NV 89128-0830

Phone 702-256-5353 · Fax 702-243-7581

Mailing address

2471 Professional Ct
Las Vegas, NV 89128-0830

Phone 702-256-5353 · Fax 702-243-7581

Authorized official

Mark John Escoto
Dentist
7022565353

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