Provider Demographics
NPI:1447459235
Name:GLOBAL DENTAL MANAGEMENT INC.
Entity type:Organization
Organization Name:GLOBAL DENTAL MANAGEMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:KHALAF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-257-2872
Mailing Address - Street 1:3774 E DESERT INN RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-3339
Mailing Address - Country:US
Mailing Address - Phone:702-257-2872
Mailing Address - Fax:702-257-2880
Practice Address - Street 1:3774 E DESERT INN RD
Practice Address - Street 2:SUITE 315
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-3339
Practice Address - Country:US
Practice Address - Phone:702-257-2872
Practice Address - Fax:702-257-2880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV42891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty