Provider Demographics
NPI:1447527932
Name:GHAG, DHARMINDER HAPPY (DDS)
Entity type:Individual
Prefix:
First Name:DHARMINDER
Middle Name:HAPPY
Last Name:GHAG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7670 W. LAKE MEAD BLVD
Mailing Address - Street 2:STE# 130
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-6649
Mailing Address - Country:US
Mailing Address - Phone:702-312-2273
Mailing Address - Fax:702-312-2276
Practice Address - Street 1:7670 W LAKE MEAD BLVD
Practice Address - Street 2:STE# 130
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-6649
Practice Address - Country:US
Practice Address - Phone:702-312-2273
Practice Address - Fax:702-312-2276
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV62081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice