Organization
SHAHRESTANI LAS VEGAS MODERN DENTISTRY, PC
Active
Other names
Las Vegas Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SHAHRESTANI DMD (OWNER DOCTOR)
(702) 655-0331
Entity
Organization
Contact information
Practice address
7171 W CRAIG RD STE 102, LAS VEGAS, NV 89129-6018
(702) 655-0331
(702) 655-0377
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
01/03/2014
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