Organization
GHAZAL PARKWAY MODERN DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN GHAZAL (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
7565 W WASHINGTON AVE STE 101, LAS VEGAS, NV 89128-4334
(702) 342-8631
(702) 342-8631
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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