| Canyon Ridge Oral And Maxillofacial Surgery | |
|
6140 S Fort Apache Rd Suite 120 Las Vegas NV 89148-6702 | |
| (702) 655-8400 | |
| (702) 255-8409 |
| Full Name | Canyon Ridge Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6140 S Fort Apache Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Charles T Calder (PRESIDENT) |
| Authorized Official Contact | 7026558400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Ridge Oral And Maxillofacial Surgery 6140 S Fort Apache Rd Suite 120 Las Vegas NV 89148-6702 Ph: (702) 655-8400 | Canyon Ridge Oral And Maxillofacial Surgery 6140 S Fort Apache Rd Suite 120 Las Vegas NV 89148-6702 Ph: (702) 655-8400 |
| NPI Number | 1649479940 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649479940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | S2-53 (Nevada) | Primary |
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