Organization
CHARLES CALDER DDS MD PC
Active
Other names
Canyon Ridge Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES T CALDER JR. MD DDS (PRESIDENT)
(702) 655-8400
Entity
Organization
Contact information
Practice address
6140 S FORT APACHE RD, SUITE 120, LAS VEGAS, NV 89148-6702
(702) 655-8400
(702) 255-8409
Mailing address
6140 S FORT APACHE RD, SUITE 120, LAS VEGAS, NV 89148-6702
(702) 655-8400
(702) 255-8409
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-53
NV
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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