Organization
HABASHI DENTAL PC
Active
Other names
perfect smile dental west
Organization subpart
No
Provider details
NPI number
Authorized official
AFSHIN AND TOURAJ HABASHI DDS (DENTIST/OWNER)
(702) 368-5111
Entity
Organization
Contact information
Practice address
3417 S JONES BLVD, STE F, LAS VEGAS, NV 89146-6784
(702) 368-5111
(702) 362-5115
Mailing address
3417 S JONES BLVD, STE F, LAS VEGAS, NV 89146-6784
(702) 368-5111
(702) 362-5115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3207
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11671512
UCC ID #
NV
01
—
199299
UCC ID #
NV
05
—
56910
—
NV
Enumeration date
07/23/2006
Last updated
08/22/2020
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