Organization
MODERN DENTAL SPECIALIST, LLC
Active
Other names
Modern Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA SAVCIC (HR)
(702) 449-2643
Entity
Organization
Contact information
Practice address
6965 S RAINBOW BLVD STE 140, LAS VEGAS, NV 89118-3280
(702) 200-9000
Mailing address
4618 MEADOWS LN, LAS VEGAS, NV 89107-2956
(702) 200-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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