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Organization
SHAHRESTANI SUNRISE MODERN DENTISTRY, PC
Active
Organization
SHAHRESTANI SUNRISE MODERN DENTISTRY, PC
Active
Other names
Shahrestani Sunrise Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAHRESTANI DMD (OWNER)
(702) 359-7318
Entity
Organization
Contact information
Practice address
6775 E LAKE MEAD BLVD STE B10, LAS VEGAS, NV 89156-1190
(702) 359-7318
(702) 984-7395
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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