Provider Demographics
NPI:1326204439
Name:ARTISTIC ORTHODONTICS, INC
Entity Type:Organization
Organization Name:ARTISTIC ORTHODONTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-435-5015
Mailing Address - Street 1:6490 S MCCARRAN BLVD
Mailing Address - Street 2:#17
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6102
Mailing Address - Country:US
Mailing Address - Phone:775-787-8900
Mailing Address - Fax:775-829-8901
Practice Address - Street 1:6490 S MCCARRAN BLVD
Practice Address - Street 2:#17
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6102
Practice Address - Country:US
Practice Address - Phone:775-787-8900
Practice Address - Fax:775-829-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty