Lie Charleston Smiles Dentistry, PC

NPI #1306338033 in Las Vegas, Nevada

Provider Information

NPI Number
1306338033
Entity Type
Organization
Organization Name
Lie Charleston Smiles Dentistry, PC
Primary Specialty
Dentist
Enumeration Date
May 30, 2018
Last Updated
Feb 27, 2019

Practice Location

Address
1150 S NELLIS BLVD STE 200
State
Nevada
ZIP Code
89104-5700
Phone
(714) 845-8500

Authorized Official

Name
WANNI LIE
Title
OWNER
Phone
(714) 845-8500

Specialties & Taxonomy Codes

Specialty
Dentist

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