# HABASHI DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** perfect smile dental west
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245251115
- **Authorized official:** AFSHIN AND TOURAJ HABASHI DDS (DENTIST/OWNER)
- **Authorized official phone:** (702) 368-5111

## Contact information

- **Practice address:** 3417 S JONES BLVD, STE F, LAS VEGAS, NV 89146-6784
- **Practice address phone:** (702) 368-5111
- **Practice address fax:** (702) 362-5115
- **Mailing address:** 3417 S JONES BLVD, STE F, LAS VEGAS, NV 89146-6784
- **Mailing address phone:** (702) 368-5111
- **Mailing address fax:** (702) 362-5115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3207 | NV | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11671512 | UCC ID \# | NV |
| 01 | — | 199299 | UCC ID \# | NV |
| 05 | — | 56910 | — | NV |
