# SHAHRESTANI SUNRISE MODERN DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shahrestani Sunrise Modern Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861263097
- **Authorized official:** ALI SHAHRESTANI DMD (OWNER)
- **Authorized official phone:** (702) 359-7318

## Contact information

- **Practice address:** 6775 E LAKE MEAD BLVD STE B10, LAS VEGAS, NV 89156-1190
- **Practice address phone:** (702) 359-7318
- **Practice address fax:** (702) 984-7395
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2024
- **Last updated:** 01/16/2024