Provider Demographics
NPI:1548617954
Name:OKNAIAN, SARO (DMD)
Entity Type:Individual
Prefix:DR
First Name:SARO
Middle Name:
Last Name:OKNAIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 N STEPHANIE ST
Mailing Address - Street 2:STE 170
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-8995
Mailing Address - Country:US
Mailing Address - Phone:702-997-5958
Mailing Address - Fax:
Practice Address - Street 1:175 N STEPHANIE ST
Practice Address - Street 2:STE 170
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-8995
Practice Address - Country:US
Practice Address - Phone:702-997-5958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV67711223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics