NPI | 1790940005 |
---|---|
Doing Business As | ABSOLUTE DENTAL |
Entity Type | Organization |
Authorized Contact | BENNY B KOHANTEB Owner 702-435-5015 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-07-25 |
Last Update Date | 2008-07-25 |