Provider Demographics
NPI:1851649768
Name:BAKHAJ, ARASH (DDS)
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:
Last Name:BAKHAJ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 CERVANTES DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4023
Mailing Address - Country:US
Mailing Address - Phone:646-592-5597
Mailing Address - Fax:
Practice Address - Street 1:4492 S PECOS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5030
Practice Address - Country:US
Practice Address - Phone:702-701-7999
Practice Address - Fax:702-722-2277
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS3-2751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics