Provider Demographics
NPI:1346751161
Name:CHARLES W ASHMAN ,B DANIEL BINAFARD DDS,APC
Entity Type:Organization
Organization Name:CHARLES W ASHMAN ,B DANIEL BINAFARD DDS,APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BEHZAD
Authorized Official - Middle Name:D
Authorized Official - Last Name:BINAFARD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-701-9284
Mailing Address - Street 1:6901 W CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1601
Mailing Address - Country:US
Mailing Address - Phone:702-363-0444
Mailing Address - Fax:702-363-4136
Practice Address - Street 1:6901 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1601
Practice Address - Country:US
Practice Address - Phone:702-363-0444
Practice Address - Fax:702-363-4136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty