Individual
SHANAR NASSERIFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1707 W CHARLESTON BLVD, SUITE 290, LAS VEGAS, NV 89102-2351
(702) 671-5175
Mailing address
1707 W CHARLESTON BLVD, SUITE 290, LAS VEGAS, NV 89102-2351
(702) 671-5175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LL-310-12
NV
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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