Individual
MELIKA SHAYEGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 N PRESTON RD STE 20, PROSPER, TX 75078-9291
(972) 848-5437
Mailing address
1700 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2335
(702) 774-2415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7629TU
NV
1223G0001X
General Practice Dentistry
LL-558-21
NV
1223P0221X
Pediatric Dentistry
Primary
40219
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2021
Last updated
02/22/2024
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