Organization
CANYON ANESTHESIA AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE FALK DMD (MANAGING MEMBER)
(702) 660-5574
Entity
Organization
Contact information
Practice address
6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149-3939
(702) 660-5574
Mailing address
6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149-3939
(702) 660-5574
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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