# HYLO PARK DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** khurram fahim, Hylo Park Dental and Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083435366
- **Authorized official:** DR. KHURRAM FAHIM DMD (MANAGING MEMBER)
- **Authorized official phone:** (702) 883-4345

## Contact information

- **Practice address:** 3880 W LAKE MEAD BLVD STE 100, NORTH LAS VEGAS, NV 89032-5201
- **Practice address phone:** (702) 626-0526
- **Mailing address:** 7380 EDNA AVE, LAS VEGAS, NV 89117-2902
- **Mailing address phone:** (702) 883-4345

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2024
- **Last updated:** 10/21/2024