| Canyon Dental Implant Center Llc | |
|
3635 S Town Center Dr Las Vegas NV 89135-3017 | |
| (702) 660-5576 | |
| (702) 660-5590 |
| Full Name | Canyon Dental Implant Center Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3635 S Town Center Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Jesse Falk (MEMBER) |
| Authorized Official Contact | 7026605574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Dental Implant Center Llc 6200 N Durango Dr Ste 100 Las Vegas NV 89149-3916 Ph: (702) 660-5574 | Canyon Dental Implant Center Llc 3635 S Town Center Dr Las Vegas NV 89135-3017 Ph: (702) 660-5576 |
| NPI Number | 1073052072 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 02/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073052072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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