Ameritina Dental Craig LLC
Dentist, General Practice in North Las Vegas, NV. Organization (NPI-2).
NPI number1164296125
StatusActive
Last updated in NPPESNov 9, 2023
Details
- NPI
- 1164296125
- Entity type
- Organization (NPI-2)
- Legal business name
- Ameritina Dental Craig LLC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2023
- Certification date
- Nov 9, 2023
- Last updated
- Nov 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Nevada Dentistry And Bracse (Doing Business As)
Practice location
1210 W Craig Rd Ste BNorth Las Vegas, NV 89032-0342
Phone 646-592-5597
Mailing address
4492 S Pecos RdLas Vegas, NV 89121-5030
Phone 646-592-5597
Authorized official
Arash Bakhaj
Owner
6465925597
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