Provider First Line Business Practice Location Address:
6080 S. DURANGO DR. STE 100
Provider Second Line Business Practice Location Address:
SMILE ENHANCERS DENTAL INC.
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-410-9400
Provider Business Practice Location Address Fax Number:
702-410-9402
Provider Enumeration Date:
08/09/2010