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NPI Code Detail

MEDICARE: ARTISTIC ORTHODONTICS, INC

MEDICARE: ARTISTIC ORTHODONTICS, INC
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1922264027
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARTISTIC ORTHODONTICS, INC
Provider Business Mailing Address
First Line : 169 N NELLIS BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5320
Country : US
Telephone Number : 702-438-2188
Fax Number : 702-438-8424
Provider Business Practice Location Address
First Line : 169 N NELLIS BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5320
Country : US
Telephone Number : 702-438-2188
Fax Number : 702-438-8424
Authorized Official
Title or Position : OWNER
Name : DR. FARSHAD ZAGHI
Credential :
Telephone Number : 702-435-5015
Provider Enumeration Date : 07/29/2008
Last Update Date : 07/29/2008

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Directions to “ARTISTIC ORTHODONTICS, INC ” Practice Location

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