Organization
DESERT DENTAL
Active
Parent organization
DESERT DENTAL
Other names
Ilya Benjamin
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESERT DENTAL
Authorized official
DR. ILYA BENJAMIN DMD (OWNER/DOCTOR)
(702) 260-1890
Entity
Organization
Contact information
Practice address
55 S VALLE VERDE DR, SUITE #250, HENDERSON, NV 89012-3433
(702) 260-1890
(702) 260-7936
Mailing address
55 S. VALLE VERDE DR., SUITE #250, HENDERSON, NV 89012
(702) 260-1890
(702) 260-7936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5852
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326027095
—
NV
Enumeration date
07/15/2009
Last updated
07/10/2013
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