# ABSOLUTE DENTAL LAKE MEAD, LLP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Absolute Dental-Lake Mead
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104912831
- **Authorized official:** DR. BENNY KOHANTEB (OWNER)
- **Authorized official phone:** (702) 218-2713

## Contact information

- **Practice address:** 2301 E LAKE MEAD BLVD, N LAS VEGAS, NV 89030-7137
- **Practice address phone:** (702) 649-9333
- **Practice address fax:** (702) 639-0579
- **Mailing address:** 2301 E LAKE MEAD BLVD, N LAS VEGAS, NV 89030-7137
- **Mailing address phone:** (702) 649-9333
- **Mailing address fax:** (702) 639-0579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4509T | NV | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/22/2020