Organization
RAINBOW DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY KOHANTEB (OWNER)
(702) 435-5015
Entity
Organization
Contact information
Practice address
7320 S RAINBOW BLVD, SUITE 103, LAS VEGAS, NV 89139-0406
(702) 435-5015
(702) 366-1483
Mailing address
526 S TONOPAH DR, SUITE 200, LAS VEGAS, NV 89106-4043
(702) 435-5015
(702) 366-1483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4509
NV
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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