Individual
ANNA SHAGHARYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6420 MEDICAL CENTER ST, LAS VEGAS, NV 89148-2446
(800) 797-0406
Mailing address
6420 MEDICAL CENTER ST, LAS VEGAS, NV 89148-2446
(702) 858-6815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6646
NV
Other
Enumeration date
08/31/2015
Last updated
10/12/2018
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