Provider Demographics
NPI:1881219699
Name:ZACHARY DAN SOARD DMD LTD
Entity type:Organization
Organization Name:ZACHARY DAN SOARD DMD LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:DAN
Authorized Official - Last Name:SOARD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-633-4333
Mailing Address - Street 1:1306 W CRAIG RD STE H
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-0215
Mailing Address - Country:US
Mailing Address - Phone:702-633-4333
Mailing Address - Fax:702-639-0032
Practice Address - Street 1:1306 W CRAIG RD STE H
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-0215
Practice Address - Country:US
Practice Address - Phone:702-633-4333
Practice Address - Fax:702-639-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental