Organization
FALK ORAL & FACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE FALK DMD (OWNER)
(702) 660-5574
Entity
Organization
Contact information
Practice address
6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149-3916
(702) 660-5574
Mailing address
6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149-3916
(702) 660-5574
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
02/23/2017
Last updated
05/04/2023
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