Provider Demographics
NPI:1841517141
Name:FAMILY CARE ORTHODONTICS
Entity type:Organization
Organization Name:FAMILY CARE ORTHODONTICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SABA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASRAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-575-7871
Mailing Address - Street 1:445 W CRAIG RD
Mailing Address - Street 2:SUITE # 121
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-1230
Mailing Address - Country:US
Mailing Address - Phone:702-399-9118
Mailing Address - Fax:702-633-7420
Practice Address - Street 1:445 W CRAIG RD
Practice Address - Street 2:SUITE # 121
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-1230
Practice Address - Country:US
Practice Address - Phone:702-399-9118
Practice Address - Fax:702-633-7420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS3-156C1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty