Organization
ABSOLUTE DENTAL EASTERN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONID BANCHIK (OWNER)
(702) 456-0009
Entity
Organization
Contact information
Practice address
9400 S EASTERN AVE, SUITE 101, LAS VEGAS, NV 89123-7936
(702) 456-0009
(702) 458-0009
Mailing address
9400 S EASTERN AVE, SUITE 101, LAS VEGAS, NV 89123-7936
(702) 456-0009
(702) 458-0009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4566
NV
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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