Healthcare Provider Details

I. General information

NPI: 1396173670
Provider Name (Legal Business Name): CARE ORTHODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 10/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N PECOS RD BLDG M
LAS VEGAS NV
89101-2400
US

IV. Provider business mailing address

701 N PECOS RD BLDG M
LAS VEGAS NV
89101-2400
US

V. Phone/Fax

Practice location:
  • Phone: 702-455-4094
  • Fax: 877-752-9402
Mailing address:
  • Phone: 702-455-4094
  • Fax: 877-752-9402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberS3-215
License Number StateNV

VIII. Authorized Official

Name: DR. SABA ASRAR
Title or Position: OWNER ORTHODONTIST
Credential:
Phone: 702-575-7871