# HILLCREST DENTAL LLC

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

## Provider details

- **NPI number:** 1508104209
- **Authorized official:** OLYA BANCHIK DDS (OWNER)
- **Authorized official phone:** (949) 836-6060

## Contact information

- **Practice address:** 3350 NOVAT ST, LAS VEGAS, NV 89129-8717
- **Practice address phone:** (702) 395-1088
- **Mailing address:** 3350 NOVAT ST, LAS VEGAS, NV 89129-8717
- **Mailing address phone:** (702) 395-1088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4782 | NV | Yes |

## Other

- **Enumeration date:** 01/30/2013
- **Last updated:** 01/30/2013
