Organization
SHAHRESTANI SUNRISE MODERN DENTISTRY, PC
Active
Other names
Shahrestani Sunrise Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAHRESTANI DMD (OWNER)
(702) 359-7318
Entity
Organization
Contact information
Practice address
6775 E LAKE MEAD BLVD STE B10, LAS VEGAS, NV 89156-1190
(702) 359-7318
(702) 984-7395
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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