Absolute Dental M.p., LLC

NPI #1144416926 in Las Vegas, Nevada

Provider Information

NPI Number: 1144416926
Entity Type: Organization
Organization Name: Absolute Dental M.p., LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 14, 2007
Last Updated: Sep 14, 2007

Practice Location

Address: 3945 S MARYLAND PKWY
Address 2: #A
City: Las Vegas
State: Nevada
ZIP Code: 89119-7562
Phone: (702) 435-5015

Authorized Official

Name: DR. BENNY B KOHANTEB
Title: OWNER
Phone: (702) 435-5015

Specialties & Taxonomy Codes

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

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