Individual
DR. ALI SHAHRESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6525 N DECATUR BLVD STE 150, LAS VEGAS, NV 89131-2993
(702) 577-1941
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415528
VA
1223G0001X
General Practice Dentistry
Primary
0401415528
VA
1223G0001X
General Practice Dentistry
11318
NC
1223G0001X
General Practice Dentistry
16682
MD
1223G0001X
General Practice Dentistry
5554
NV
1223G0001X
General Practice Dentistry
55849
CA
1223G0001X
General Practice Dentistry
9043
SC
Other
Enumeration date
08/14/2007
Last updated
05/20/2022
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