Provider Demographics
NPI:1972690030
Name:ARTISTIC ORTHODONTICS, INC
Entity Type:Organization
Organization Name:ARTISTIC ORTHODONTICS, INC
Other - Org Name:ARTISTIC ORTHDONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-218-2713
Mailing Address - Street 1:8380 W CHEYENNE AVE
Mailing Address - Street 2:102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8405
Mailing Address - Country:US
Mailing Address - Phone:702-388-8989
Mailing Address - Fax:
Practice Address - Street 1:8380 W CHEYENNE AVE
Practice Address - Street 2:102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-8405
Practice Address - Country:US
Practice Address - Phone:702-388-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty