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971 Topsy Ln #333 Carson City NV 89705-8421 | |
| (775) 884-4888 | |
| (775) 267-4288 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 971 Topsy Ln, Carson City, Nevada |
| Authorized Official Name and Position | Benny Kohanteb (OWNER) |
| Authorized Official Contact | 7024355016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
526 S Tonopah Dr #200 Las Vegas NV 89106-4043 Ph: (702) 435-5015 | 971 Topsy Ln #333 Carson City NV 89705-8421 Ph: (775) 884-4888 |
| NPI Number | 1538495148 |
|---|---|
| Provider Enumeration Date | 11/02/2009 |
| Last Update Date | 11/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538495148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4509 (Nevada) | Primary |
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