Organization
CHARLES CALDER DDS MD PC
Active
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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