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Contact Information

NASTARAN CHOKHACHI ZADEH MOGHADAM, DDS
3600 N BUFFALO DR
LAS VEGAS, NV89129-7463
 Phone: 702-254-8858
 Fax: 702-254-9462
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for NASTARAN CHOKHACHI ZADEH MOGHADAM · (Female)

NPI # 1114555638
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/30/2020
Last updated 01/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NV License # S6-219C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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