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NPI Code Detail

MEDICARE: SARAH SAMIR OWEIS DMD

MEDICARE:   SARAH SAMIR OWEIS  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7250NV

General Provider Information

NPI Number : 1114570579
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH SAMIR OWEIS DMD
Provider Business Mailing Address
First Line : 200 W SAHARA AVE UNIT 506
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-5098
Country : US
Telephone Number : 925-719-2682
Fax Number :
Provider Business Practice Location Address
First Line : 4301 E SUNSET RD STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89014-2238
Country : US
Telephone Number : 702-465-8187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 07/24/2019

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Directions to “ SARAH SAMIR OWEIS DMD” Practice Location

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