Provider Demographics
NPI:1659539914
Name:PARAN, FEBIANA C (DDS)
Entity Type:Individual
Prefix:DR
First Name:FEBIANA
Middle Name:C
Last Name:PARAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9187 W FLAMINGO RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6455
Mailing Address - Country:US
Mailing Address - Phone:702-252-3002
Mailing Address - Fax:702-252-7546
Practice Address - Street 1:9187 W FLAMINGO RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-6455
Practice Address - Country:US
Practice Address - Phone:702-252-3002
Practice Address - Fax:702-252-7546
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV35871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice