Absolute Dental Farm Road LLC

NPI #1134391683 in Las Vegas, Nevada

Provider Information

NPI Number: 1134391683
Entity Type: Organization
Organization Name: Absolute Dental Farm Road LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 8430 FARM RD
Address 2: 120
City: Las Vegas
State: Nevada
ZIP Code: 89131-8166
Phone: (702) 435-5015

Authorized Official

Name: BENNY K KOHANTEB, DDS
Title: OWNER
Phone: (702) 435-5015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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