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Organization

NEVADA DENTAL SPECIALISTS, LLC

Active
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Organization

NEVADA DENTAL SPECIALISTS, LLC

Active
Other names
Nevada Dental Specialists--Ortho.
Organization subpart
No

Provider details

NPI number
Authorized official
BENNY KOHANTEB (OWNER)
(702) 435-5016
Entity
Organization

Contact information

Practice address
971 TOPSY LN, #333, CARSON CITY, NV 89705-8421
(775) 884-4888
(775) 267-4288
Mailing address
526 S TONOPAH DR, #200, LAS VEGAS, NV 89106-4043
(702) 435-5015
(702) 366-1483

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4509
NV

Other

Enumeration date
11/02/2009
Last updated
11/02/2009
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