Provider Demographics
NPI:1396186706
Name:YASSEN ALSAIEGH, SANA ABDULA
Entity type:Individual
Prefix:DR
First Name:SANA
Middle Name:ABDULA
Last Name:YASSEN ALSAIEGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SANA
Other - Middle Name:ABDULA
Other - Last Name:YASSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:161 DERWENT PL
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-4261
Mailing Address - Country:US
Mailing Address - Phone:702-340-6375
Mailing Address - Fax:
Practice Address - Street 1:320 N NELLIS BLVD
Practice Address - Street 2:SUITE # 4
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-0052
Practice Address - Country:US
Practice Address - Phone:702-453-7200
Practice Address - Fax:702-437-4022
Is Sole Proprietor?:No
Enumeration Date:2013-07-13
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6386122300000X
TX29460122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist