Star Smiles Childrens Dentistry

NPI #1518097153 in North Las Vegas, Nevada

Provider Information

NPI Number: 1518097153
Entity Type: Organization
Organization Name: Star Smiles Childrens Dentistry
Primary Specialty: Dentist
Enumeration Date: Mar 6, 2007
Last Updated: Apr 4, 2012

Practice Location

Address: 4040 NORTH MARTIN LUTHER KING BL
Address 2: SUITE B
City: North Las Vegas
State: Nevada
ZIP Code: 89032-3206
Phone: (702) 639-3515

Authorized Official

Name: TIMOTHY A WILSON, DDS
Title: DENTIST
Phone: (702) 639-3515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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