# AVANA PLASTIC SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346813896
- **Authorized official:** ADAHLIA ALCOVA (GENERAL MANAGER)
- **Authorized official phone:** (702) 964-4779

## Contact information

- **Practice address:** 8930 W SUNSET RD STE 140, LAS VEGAS, NV 89148-5009
- **Practice address phone:** (702) 703-3040
- **Mailing address:** 8930 W SUNSET RD STE 140, LAS VEGAS, NV 89148-5009
- **Mailing address phone:** (702) 964-4779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2021
- **Last updated:** 07/22/2021
