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Contact Information

MODERN DENTAL SPECIALIST, LLC
4416 E BONANZA RD UNIT 120
LAS VEGAS, NV89110-6349
 Phone: 702-200-9000
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for MODERN DENTAL SPECIALIST, LLC

NPI Number 1669207957
LBN Legal business name MODERN DENTAL SPECIALIST, LLC
Authorized official BENNY KOHANTEB - (DENTIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/05/2024
Last updated 09/05/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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