Provider Demographics
NPI:1326719873
Name:SOGAND FARTASH DDS PLLC
Entity Type:Organization
Organization Name:SOGAND FARTASH DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOGAND
Authorized Official - Middle Name:
Authorized Official - Last Name:FARTASH NAINI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-781-0624
Mailing Address - Street 1:3627 S PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3753
Mailing Address - Country:US
Mailing Address - Phone:303-781-0624
Mailing Address - Fax:
Practice Address - Street 1:3627 S PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3753
Practice Address - Country:US
Practice Address - Phone:303-781-0624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities