Provider Demographics
NPI:1508135732
Name:ANAND, SARIKA (DDS)
Entity Type:Individual
Prefix:
First Name:SARIKA
Middle Name:
Last Name:ANAND
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 1:7670 W LAKE MEAD BLVD
Mailing Address - Street 2:STE# 130
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-6649
Mailing Address - Country:US
Mailing Address - Phone:702-312-2273
Mailing Address - Fax:702-312-2276
Practice Address - Street 1:7670 W LAKE MEAD BLVD
Practice Address - Street 2:STE# 130
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-6649
Practice Address - Country:US
Practice Address - Phone:702-312-2273
Practice Address - Fax:702-312-2276
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLL24611122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist