Organization
LAS VEGAS DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN RAPHAEL ABRAHAMS DMD (PRESIDENT)
(860) 713-3036
Entity
Organization
Contact information
Practice address
5230 BOULDER HWY STE 130, LAS VEGAS, NV 89122-6079
(702) 851-6724
Mailing address
5077 TRANQUIL STREAM CT, LAS VEGAS, NV 89148-1607
(860) 713-3036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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