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NPI Code Detail

MEDICARE: YASSER GHERIANI

MEDICARE:   YASSER  GHERIANI
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
1122300000XDentist7532NV

General Provider Information

NPI Number : 1609457845
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASSER GHERIANI
Provider Business Mailing Address
First Line : 5475 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-6410
Country : US
Telephone Number : 702-702-1609
Fax Number : 725-525-7641
Provider Business Practice Location Address
First Line : 5475 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-6410
Country : US
Telephone Number : 702-702-1609
Fax Number : 725-525-7641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2021
Last Update Date : 12/01/2023

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Directions to “ YASSER GHERIANI ” Practice Location

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