Organization
AVANA PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAHLIA ALCOVA (GENERAL MANAGER)
(702) 964-4779
Entity
Organization
Contact information
Practice address
8930 W SUNSET RD STE 140, LAS VEGAS, NV 89148-5009
(702) 703-3040
Mailing address
8930 W SUNSET RD STE 140, LAS VEGAS, NV 89148-5009
(702) 964-4779
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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