Dr. Ali Shahrestani, DDS
Dentist, General Practice in Las Vegas, NV. Individual provider (NPI-1).
NPI number1023200052
StatusActive
Last updated in NPPESMay 20, 2022
Details
- NPI
- 1023200052
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ali Shahrestani
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2007
- Certification date
- May 20, 2022
- Last updated
- May 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401415528 | VA | Yes |
| 122300000X | Dentist | 0401415528 | VA | |
| 1223G0001X | Dentist, General Practice | 16682 | MD | |
| 1223G0001X | Dentist, General Practice | 55849 | CA | |
| 1223G0001X | Dentist, General Practice | 9043 | SC | |
| 1223G0001X | Dentist, General Practice | 11318 | NC | |
| 1223G0001X | Dentist, General Practice | 5554 | NV |
Practice location
6525 N Decatur Blvd Ste 150Las Vegas, NV 89131-2993
Phone 702-577-1941
Mailing address
2860 Michelle2nd Floor
Irvine, CA 92606-1009
Phone 714-508-3600 · Fax 714-368-2092
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