Organization
ABSOLUTE DENTAL MEADOWS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY KOHANTEB (OWNER)
(702) 435-5015
Entity
Organization
Contact information
Practice address
4300 MEADOWS LN, #1350, LAS VEGAS, NV 89107-3004
(702) 435-5015
(702) 366-1483
Mailing address
526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
(702) 435-5015
(702) 366-1483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4509
NV
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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