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General NPI Number Information
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NPI Number | 1194650242
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Entity Type | Organization
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Legal Business Name | TRNEVADA DENTAL PC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 6710 S FORT APACHE RD STE 102
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City | LAS VEGAS
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State | NV
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Zip | 89148-5395
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Country | US
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Telephone | 702-550-1227
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Fax |
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Provider Business Mailing Address
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Address Line | 732 S 6TH ST STE N
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City | LAS VEGAS
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State | NV
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Zip | 89101-6928
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | HOGAI WAHIDI
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Credential |
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Telephone | 940-910-4985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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