Individual
BRIAN SCOTT BIENSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4399 STEWART AVE, #140, LAS VEGAS, NV 89110-3238
(702) 453-6660
(702) 453-6669
Mailing address
4399 STEWART AVE, #140, LAS VEGAS, NV 89110-3238
(702) 453-6660
(702) 453-6669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60386595
WA
1223G0001X
General Practice Dentistry
Primary
4549
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501214
—
NV
Enumeration date
11/08/2006
Last updated
10/01/2013
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