Provider Demographics
NPI:1790134179
Name:JUBERT C ARANAS LLC
Entity Type:Organization
Organization Name:JUBERT C ARANAS LLC
Other - Org Name:ATLAS DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARANAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-338-1679
Mailing Address - Street 1:522 WHITE HEART RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5277
Mailing Address - Country:US
Mailing Address - Phone:702-900-7860
Mailing Address - Fax:208-575-0303
Practice Address - Street 1:7460 S. RAINBOW BLVD.
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139
Practice Address - Country:US
Practice Address - Phone:702-900-7860
Practice Address - Fax:208-575-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6711122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty