# SHAHRESTANI DEER SPRINGS MODERN DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deer Springs Modern Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922351931
- **Authorized official:** DR. ALI SHAHRESTANI DMD (OWNER DOCTOR)
- **Authorized official phone:** (702) 399-3800

## Contact information

- **Practice address:** 640 E DEER SPRINGS WAY STE 180, NORTH LAS VEGAS, NV 89086-1514
- **Practice address phone:** (702) 399-3800
- **Practice address fax:** (702) 399-3801
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (949) 474-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2012
- **Last updated:** 01/03/2014