| NPI | 1104912831 |
|---|---|
| Doing Business As | ABSOLUTE DENTAL-LAKE MEAD |
| Entity Type | Organization |
| Authorized Contact | BENNY KOHANTEB Owner 702-218-2713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NV 4509T) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |