Provider Demographics
NPI:1912284092
Name:A-Z DENTAL LLC
Entity Type:Organization
Organization Name:A-Z DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AFSHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AZIMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-759-0005
Mailing Address - Street 1:820 S 7TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6938
Mailing Address - Country:US
Mailing Address - Phone:702-759-0005
Mailing Address - Fax:702-759-3495
Practice Address - Street 1:820 S 7TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6938
Practice Address - Country:US
Practice Address - Phone:702-759-0005
Practice Address - Fax:702-759-3495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV31801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty