Farokh, Samira

Farokh, Samira is an sole proprietor health care provider with primary practice located at 3896 N Mlk Blvd , North Las Vegas NV 89032-6603. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Farokh, Samira can be contacted via phone (702) 395-5437.

Contact Information

Primary practice address
3896 N Mlk Blvd North Las Vegas NV 89032-6603
Phone: (702) 395-5437
Fax: (702) 933-0190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6328 Nevada
Dental Providers / Pediatric Dentistry 1223P0221X S6-168 Nevada

Profile Details

NPI number 1497091367
LBN Legal business name Farokh, Samira
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2012
Last updated Jun 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497091367 NPPES
Nevada Other 0001719087 DRIVERS LICENSE

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