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NPI Code Detail

MEDICARE: SANA FAHIM DMD

MEDICARE: SANA FAHIM 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
1122300000XDentist8175NV

General Provider Information

NPI Number : 1700770807
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANA FAHIM DMD
Provider Business Mailing Address
First Line : 8065 CORONADO COAST ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-6193
Country : US
Telephone Number : 702-577-6073
Fax Number :
Provider Business Practice Location Address
First Line : 5642 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-2375
Country : US
Telephone Number : 702-984-3678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2025
Last Update Date : 06/04/2025

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Directions to “ SANA FAHIM DMD” Practice Location

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