# NORTHWEST RENO SMILES DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Dental Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669840468
- **Authorized official:** ALI SHAHRESTANI DMD (OWNER DOCTOR)
- **Authorized official phone:** (702) 413-3334

## Contact information

- **Practice address:** 5150 MAE ANNE AVE, SUITE 810A, RENO, NV 89523-1858
- **Practice address phone:** (775) 747-0680
- **Practice address fax:** (775) 747-0681
- **Mailing address:** 5150 MAE ANNE AVE, SUITE 810A, RENO, NV 89523-1858
- **Mailing address phone:** (775) 747-0680
- **Mailing address fax:** (775) 747-0681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6702 | NV | Yes |

## Other

- **Enumeration date:** 09/10/2015
- **Last updated:** 09/10/2015