Lmj Dental, LLC

NPI #1790940005 in Las Vegas, Nevada

Provider Information

NPI Number: 1790940005
Entity Type: Organization
Organization Name: Lmj Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 25, 2008
Last Updated: Jul 25, 2008

Practice Location

Address: 6110 W LAKE MEAD BLVD
Address 2: STE. 150
City: Las Vegas
State: Nevada
ZIP Code: 89108-2659
Phone: (702) 435-5015

Authorized Official

Name: BENNY B 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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