Provider Demographics
NPI:1619697059
Name:ARAKELYAN, MILENA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MILENA
Middle Name:
Last Name:ARAKELYAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10451 LYRIC ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-4037
Mailing Address - Country:US
Mailing Address - Phone:702-768-8407
Mailing Address - Fax:
Practice Address - Street 1:7035 W ANN RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3867
Practice Address - Country:US
Practice Address - Phone:702-396-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV76881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice