Individual
HOOMAN FAKHRAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4380 BLUE DIAMOND RD STE 102, LAS VEGAS, NV 89139-7786
(702) 425-4424
(702) 875-4230
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6166
NV
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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