| Absolute Dental-sparks | |
|
1301 N Mccarran Blvd Suite 104 Sparks NV 89431-3877 | |
| (775) 331-8400 | |
| (775) 359-9336 |
| Full Name | Absolute Dental-sparks |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 N Mccarran Blvd, Sparks, Nevada |
| Authorized Official Name and Position | Benny Kohanteb (OWNER) |
| Authorized Official Contact | 7753318400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolute Dental-sparks 1301 N Mccarran Blvd Suite 104 Sparks NV 89431-3877 Ph: (775) 331-8400 | Absolute Dental-sparks 1301 N Mccarran Blvd Suite 104 Sparks NV 89431-3877 Ph: (775) 331-8400 |
| NPI Number | 1720177512 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720177512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4509 (Nevada) | Primary |
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