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Organization
ABSOLUTE DENTAL-SPARKS
Active
Organization
ABSOLUTE DENTAL-SPARKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNY KOHANTEB D.D.S. (OWNER)
(775) 331-8400
Entity
Organization
Contact information
Practice address
1301 N MCCARRAN BLVD, SUITE 104, SPARKS, NV 89431-3877
(775) 331-8400
(775) 359-9336
Mailing address
1301 N MCCARRAN BLVD, SUITE 104, SPARKS, NV 89431-3877
(775) 331-8400
(775) 359-9336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4509
NV
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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