Modern Dental Specialist, LLC

NPI #1699556001 in Las Vegas, Nevada

Provider Information

NPI Number: 1699556001
Entity Type: Organization
Organization Name: Modern Dental Specialist, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 11, 2023
Last Updated: Oct 11, 2023

Practice Location

Address: 6965 S RAINBOW BLVD STE 140
City: Las Vegas
State: Nevada
ZIP Code: 89118-3280
Phone: (702) 200-9000

Authorized Official

Name: ANASTASIA SAVCIC
Title: HR
Phone: (702) 449-2643

Specialties & Taxonomy Codes

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

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