Individual
PEYMAN BASTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1707 W CHARLESTON BLVD STE 290, LAS VEGAS, NV 89102-2353
(702) 774-5134
Mailing address
100 CHILPANCINGO PKWY APT 3205, PLEASANT HILL, CA 94523-1376
(925) 852-4641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8042
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/08/2024
Last updated
07/24/2024
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