Organization
BEHZAD GARAGOZLOO DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHZAD GARAGOZLOO D.D.S. (PRESIDENT)
(702) 321-8602
Entity
Organization
Contact information
Practice address
1215 S FORT APACHE RD, #230, LAS VEGAS, NV 89117-5488
(702) 437-1007
Mailing address
10236 DUCHESS OF YORK AVE, LAS VEGAS, NV 89166-6532
(702) 321-8602
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
8884
AZ
261QD0000X
Dental Clinic/Center
Primary
S7-64
NV
Other
Enumeration date
12/15/2008
Last updated
02/14/2014
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