Shahrestani Grand Canyon Modern Dentistry, PC

NPI #1841048865 in Las Vegas, Nevada

Provider Information

NPI Number: 1841048865
Entity Type: Organization
Organization Name: Shahrestani Grand Canyon Modern Dentistry, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 7, 2024
Last Updated: May 7, 2024

Practice Location

Address: 9560 W SKYE CANYON PARK DR STE 100
City: Las Vegas
State: Nevada
ZIP Code: 89166-6802
Phone: (702) 800-5711

Authorized Official

Name: ALI SHAHRESTANI
Title: DMD
Phone: (714) 845-8500

Specialties & Taxonomy Codes

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

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