Ilya Benjamin | |
55 S Valle Verde Dr Suite #250 Henderson NV 89012-3433 | |
(702) 260-1890 | |
(702) 260-7936 |
Full Name | Ilya Benjamin |
---|---|
Speciality | Dentist - General Practice |
Location | 55 S Valle Verde Dr, Henderson, Nevada |
Authorized Official Name and Position | Ilya Benjamin (OWNER/DOCTOR) |
Authorized Official Contact | 7022601890 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ilya Benjamin 55 S. Valle Verde Dr. Suite #250 Henderson NV 89012 Ph: (702) 260-1890 | Ilya Benjamin 55 S Valle Verde Dr Suite #250 Henderson NV 89012-3433 Ph: (702) 260-1890 |
NPI Number | 1487884268 |
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Provider Enumeration Date | 07/15/2009 |
Last Update Date | 07/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487884268 | NPI | - | NPPES |
1326027095 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5852 (Nevada) | Primary |
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