Basic Information
| Provider Information | |||||||||
| NPI: | 1548617954 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OKNAIAN | ||||||||
| FirstName: | SARO | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 175 N STEPHANIE ST | ||||||||
| Address2: | STE 170 | ||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890748995 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029975958 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 175 N STEPHANIE ST | ||||||||
| Address2: | STE 170 | ||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890748995 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029975958 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2016 | ||||||||
| LastUpdateDate: | 07/05/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223E0200X | 6771 | NV | Y | Dental Providers | Dentist | Endodontics |
No ID Information.