Individual
TOURAJ HABASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9895 S MARYLAND PKWY, STE A, LAS VEGAS, NV 89183-7164
(702) 387-6453
(702) 617-6019
Mailing address
9895 S MARYLAND PKWY, STE# A, LAS VEGAS, NV 89183-7164
(702) 387-6453
(702) 617-6019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3051
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022020501
—
NV
01
—
199299
UNITED CONCORDIA
NV
Enumeration date
07/26/2006
Last updated
10/21/2009
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