Miles of Smiles Ventures, LLC

NPI #1235329210 in Las Vegas, Nevada

Provider Information

NPI Number: 1235329210
Entity Type: Organization
Organization Name: Miles of Smiles Ventures, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 26, 2007
Last Updated: Mar 2, 2012

Practice Location

Address: 4040 N. MARTIN LUTHER KING
Address 2: STE B.
City: Las Vegas
State: Nevada
ZIP Code: 89032-3205
Phone: (702) 639-3515

Authorized Official

Name: SHERILL BANKS
Title: OFFICE MANAGER
Phone: (702) 639-3515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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