Provider Demographics
NPI:1295888113
Name:JAFARIFAR, SALMEH (DDS)
Entity type:Individual
Prefix:DR
First Name:SALMEH
Middle Name:
Last Name:JAFARIFAR
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 1:8785 W. WARM SPRINGS ROAD.
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-433-0355
Mailing Address - Fax:702-433-0455
Practice Address - Street 1:8785 W. WARM SPRINGS ROAD.
Practice Address - Street 2:SUITE 108
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-433-0355
Practice Address - Fax:702-433-0455
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV45651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice