Organization
ABSOLUTE DENTAL FARM ROAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY K KOHANTEB DDS (OWNER)
(702) 435-5015
Entity
Organization
Contact information
Practice address
8430 FARM RD, 120, LAS VEGAS, NV 89131-8166
(702) 435-5015
(702) 366-1483
Mailing address
501 S RANCHO DR, B-11, LAS VEGAS, NV 89106-4828
(702) 435-5015
(702) 366-1483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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