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Organization
MODERN DENTAL SPECIALIST, LLC
Active
Organization
MODERN DENTAL SPECIALIST, LLC
Active
Other names
Modern Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA SAVCIC (HR)
(702) 449-2643
Entity
Organization
Contact information
Practice address
6965 S RAINBOW BLVD STE 140, LAS VEGAS, NV 89118-3280
(702) 200-9000
Mailing address
4618 MEADOWS LN, LAS VEGAS, NV 89107-2956
(702) 200-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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