Provider Demographics
NPI:1104001155
Name:KARAKOZIAN, SAKO H (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAKO
Middle Name:H
Last Name:KARAKOZIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6525 N DECATUR BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-2992
Mailing Address - Country:US
Mailing Address - Phone:702-577-1941
Mailing Address - Fax:702-395-7813
Practice Address - Street 1:6525 N DECATUR BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-2992
Practice Address - Country:US
Practice Address - Phone:702-577-1941
Practice Address - Fax:702-395-7813
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV56341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice