Individual
DR. CHRISTINE C ANCAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1700 W CHARLESTON BLVD, LAS VEGAS, NV 89106
(702) 774-2815
(702) 774-2811
Mailing address
1001 SHADOW LANE, A 103, LAS VEGAS, NV 89106
(702) 774-2816
(702) 774-2811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4830T
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506013
—
NV
Enumeration date
11/17/2006
Last updated
01/28/2009
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