# BRIAN BIENSTOCK PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRIAN BIENSTOCK - PLLC
- **Other names:** Rancho Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972853109
- **Legal business name:** BRIAN BIENSTOCK - PLLC
- **Authorized official:** BRIAN SCOTT BIENSTOCK DDS (DENTIST / OWNER)
- **Authorized official phone:** (702) 281-8224

## Contact information

- **Practice address:** 1070 N. RANCHO DR., LAS VEGAS, NV 89106
- **Practice address phone:** (702) 648-3701
- **Practice address fax:** (702) 453-6669
- **Mailing address:** 1070 N. RANCHO DR., LAS VEGAS, NV 89106
- **Mailing address phone:** (702) 648-3701
- **Mailing address fax:** (702) 453-6669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4549 | NV | Yes |

## Other

- **Enumeration date:** 09/14/2012
- **Last updated:** 09/14/2012