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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