# NADER AFSHARI DDS A DENTAL VENTURE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043729171
- **Authorized official:** NADER AFSHARI DDS (OWNER /DENTIST)
- **Authorized official phone:** (818) 929-9284

## Contact information

- **Practice address:** 4161 S EASTERN AVE STE E8, LAS VEGAS, NV 89119-5425
- **Practice address phone:** (818) 274-2215
- **Practice address fax:** (702) 233-1250
- **Mailing address:** 4161 S EASTERN AVE STE E8, LAS VEGAS, NV 89119-5425
- **Mailing address phone:** (702) 233-1222
- **Mailing address fax:** (702) 233-1250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3179 | NV | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 12/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1043729171 | — | NV |
| 01 | — | 1063696110 | INDIVIDUAL NPI | — |