Dr Susan Smith DDS Prof Corp

NPI #1629383880 in Las Vegas, Nevada

Provider Information

NPI Number: 1629383880
Entity Type: Organization
Organization Name: Dr Susan Smith DDS Prof Corp
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 12, 2010
Last Updated: Jun 24, 2015

Practice Location

Address: 8275 S. EASTERN AVENUE #101
City: Las Vegas
State: Nevada
ZIP Code: 89123
Phone: (702) 967-1700

Authorized Official

Name: DR. SUSAN SCHMUTZ SMITH, DDS
Title: DENTIST
Phone: (702) 967-1700

Specialties & Taxonomy Codes

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

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