KOOLSMILES DENTAL CORPORATION NPI 1972170389

NPI Information

KOOLSMILES DENTAL CORPORATION is a general practice dentist in North Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KOOLSMILES DENTAL CORPORATION NPI is 1972170389. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1975 W CRAIG RD STE 103
NORTH LAS VEGAS, NV
ZIP 89032-332
Phone: (702) 220-4266

The provider's authorized official is Derrick Pham .
The authorized official title is President and has the following contact phone number (714) 417-0246.

The enumeration date for this NPI number is 6/6/2021 and was last updated on 6/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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