# SHAHRESTANI SPANISH SPRINGS MODERN DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spanish Springs Modern Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326463761
- **Authorized official:** DR. ALI SHAHRESTANI DMD (OWNER DOCTOR)
- **Authorized official phone:** (775) 354-1785

## Contact information

- **Practice address:** 242 LOS ALTOS PKWY, SPARKS, NV 89436-7708
- **Practice address phone:** (775) 354-1785
- **Practice address fax:** (775) 354-1795
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (949) 474-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2014
- **Last updated:** 02/21/2014