Individual ProviderMalak HamedianDentistDental ProvidersPractice Address3350 Novat St Ste 145, Las Vegas, NV 89129-8722(702) 707-6895PECOS EnrollmentBased on the most recent information from CMS, provider Malak Hamedian does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1255982914Provider TypeIndividualFull NameHamedian, MalakGenderFemaleSole ProprietorNoEnumeration Date9/24/2019Last Updated10/28/2025Contact InformationPractice LocationPractice Address3350 Novat St Ste 145, Las Vegas, NV 89129-8722Phone(702) 707-6895FaxUnlisted FaxMailing LocationMailing Address3350 Novat St Ste 145, Las Vegas, NV 89129-8722Phone(702) 707-6895FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense8312Nevada