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Organization

POUYA MOMTAZ DMD PLLC

Active
Parent organization
POUYA MOMTAZ DMD PLLC
Other names
Align Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
POUYA MOMTAZ DMD PLLC
Authorized official
DR. POUYA MOMTAZ DMD. MS (ORTHODONTIST)
(702) 546-9936
Entity
Organization

Contact information

Practice address
6121 W LAKE MEAD BLVD STE 115, LAS VEGAS, NV 89108-2737
(702) 381-9444
Mailing address
6121 W LAKE MEAD BLVD STE 115, LAS VEGAS, NV 89108-2737
(702) 381-9444

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
05/07/2020
Last updated
05/07/2020
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