Organization · NPI-2

Abbey Dental Khanna PC

Dentist · Las Vegas, NV

NPI number1821113705
StatusActive
Last updated in NPPESDec 22, 2021

Details

NPI
1821113705
Entity type
Organization (NPI-2)
Legal business name
Abbey Dental Khanna PC
Organization subpart
No
Enumeration date
Mar 20, 2007
Certification date
Dec 22, 2021
Last updated
Dec 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist3354NVYes

Practice location

4408 S Eastern Ave
Las Vegas, NV 89119-7825

Phone 702-731-5700 · Fax 702-731-0803

Mailing address

4408 S Eastern Ave
Las Vegas, NV 89119-7825

Phone 702-731-5700 · Fax 702-731-0803

Authorized official

Michael Khanna
President
7027315700

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