Provider Demographics
NPI:1437556602
Name:TRANTOUNIAN IV DDS PLLC
Entity Type:Organization
Organization Name:TRANTOUNIAN IV DDS PLLC
Other - Org Name:DENTALVILLE SUNSET
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-997-7707
Mailing Address - Street 1:7545 W SAHARA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2866
Mailing Address - Country:US
Mailing Address - Phone:702-997-7707
Mailing Address - Fax:
Practice Address - Street 1:1351 W SUNSET RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-8608
Practice Address - Country:US
Practice Address - Phone:702-835-1102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty