# DESERT DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DESERT DENTAL
- **Other names:** Ilya Benjamin
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487884268
- **Legal business name:** DESERT DENTAL
- **Authorized official:** DR. ILYA BENJAMIN DMD (OWNER/DOCTOR)
- **Authorized official phone:** (702) 260-1890

## Contact information

- **Practice address:** 55 S VALLE VERDE DR, SUITE \#250, HENDERSON, NV 89012-3433
- **Practice address phone:** (702) 260-1890
- **Practice address fax:** (702) 260-7936
- **Mailing address:** 55 S. VALLE VERDE DR., SUITE \#250, HENDERSON, NV 89012
- **Mailing address phone:** (702) 260-1890
- **Mailing address fax:** (702) 260-7936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5852 | NV | Yes |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 07/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1326027095 | — | NV |