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Individual

MONI AHMADIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
UNLV SCHOOL OF DENTAL MEDICINE 1001 SHADOW LANE, LAS VEGAS, NV 89106
(702) 774-2400
Mailing address
1001 SHADOW LN # MS 7413, LAS VEGAS, NV 89106-4124
(702) 774-2616
(702) 774-2633

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6216
NV
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
S1-28
NV

Other

Enumeration date
08/27/2012
Last updated
04/22/2024
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