Provider Demographics
NPI:1427214535
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 1:1321 N MCCARRAN BLVD
Mailing Address - Street 2:#104
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-3879
Mailing Address - Country:US
Mailing Address - Phone:775-359-9300
Mailing Address - Fax:775-331-8503
Practice Address - Street 1:1321 N MCCARRAN BLVD
Practice Address - Street 2:#104
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-3879
Practice Address - Country:US
Practice Address - Phone:775-359-9300
Practice Address - Fax:775-331-8503
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