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Organization
SHAHRESTANI SHADOW MOUNTAIN SMILES DENTISTRY, PC
Active
Organization
SHAHRESTANI SHADOW MOUNTAIN SMILES DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAHRESTANI (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
6485 N DECATUR BLVD STE 150, LAS VEGAS, NV 89131-2989
(702) 846-5745
(702) 832-1495
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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