| NPI | 1821323205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY KOHANTEB Owner 702-435-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV 4509) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |