Koolsmiles Dental Corporation
NPI #1972170389 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1972170389
- Entity Type
- Organization
- Organization Name
- Koolsmiles Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 6, 2021
- Last Updated
- Jun 6, 2021
Practice Location
- Address
- 1975 W CRAIG RD STE 103
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89032-0332
- Phone
- (702) 220-4266
Authorized Official
- Name
- DR. DERRICK PHAM, DDS
- Title
- PRESIDENT
- Phone
- (714) 417-0246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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