Organization
ABSOLUTE DENTAL ALIANTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONID BANCHIK D.M.D (OWNER)
(702) 839-2244
Entity
Organization
Contact information
Practice address
3040 W ANN RD, SUITE 101, N LAS VEGAS, NV 89031-7265
(702) 839-2244
(702) 839-1415
Mailing address
3040 W ANN RD, SUITE 101, N LAS VEGAS, NV 89031-7265
(702) 839-2244
(702) 839-1415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4566
NV
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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