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Organization
OLYA BANCHIK DDS PC
Active
Organization
OLYA BANCHIK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLYA BANCHIK DDS (OWNER)
(702) 341-9597
Entity
Organization
Contact information
Practice address
1825 VILLAGE CENTER CIR, SUITE 150, LAS VEGAS, NV 89134-0518
(702) 341-9597
(702) 360-3178
Mailing address
1825 VILLAGE CENTER CIR, SUITE 150, LAS VEGAS, NV 89134-0518
(702) 341-9597
(702) 360-3178
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4782
NV
Other
Enumeration date
06/16/2010
Last updated
03/14/2011
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