Individual ProviderHenna AmbeshDentistDental ProvidersPractice Address8370 W Cheyenne Ave Ste 103, Las Vegas, NV 89129-2174(360) 536-7522PECOS EnrollmentBased on the most recent information from CMS, provider Henna Ambesh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1962263327Provider TypeIndividualFull NameAmbesh, HennaGenderFemaleSole ProprietorNoEnumeration Date1/22/2024Last Updated8/18/2025Contact InformationPractice LocationPractice Address8370 W Cheyenne Ave Ste 103, Las Vegas, NV 89129-2174Phone(360) 536-7522Fax(702) 984-7566Mailing LocationMailing Address8370 W Cheyenne Ave Ste 103, Las Vegas, NV 89129-2174Phone(360) 536-7522Fax(702) 984-7566Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense8255NevadaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer