Organization
CANYON DENTAL IMPLANT CENTER LLC
Active
Other names
Canyon Dental Implants & Dentures
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE FALK DMD (MEMBER)
(702) 660-5574
Entity
Organization
Contact information
Practice address
3635 S TOWN CENTER DR, LAS VEGAS, NV 89135-3017
(702) 660-5576
(702) 660-5590
Mailing address
6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149-3916
(702) 660-5574
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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