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Organization
CORONADO CANYON DENTISTREE
Active
Organization
CORONADO CANYON DENTISTREE
Active
Other names
ELEAZAR VIRAY SANTIAGO GEN PTR, ELEAZAR VIRAY SANTIAGO GEN PTR
Organization subpart
No
Provider details
NPI number
Authorized official
ELEAZAR SANTIAGO (DOCTOR)
(702) 610-8734
Entity
Organization
Contact information
Practice address
660 S GREEN VALLEY PKWY STE 110, HENDERSON, NV 89052-0431
(702) 610-8734
Mailing address
660 S GREEN VALLEY PKWY STE 110, HENDERSON, NV 89052-0431
(702) 610-8734
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/06/2023
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