| NPI | 1588943948 |
|---|---|
| Doing Business As | LAS VEGAS MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALI SHAHRESTANI Owner Doctor 702-655-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2014-01-03 |