NPI | 1487884268 |
---|---|
Doing Business As | ILYA BENJAMIN |
Entity Type | Organization |
Authorized Contact | ILYA BENJAMIN Owner/Doctor 702-260-1890 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 5852) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2013-07-10 |