| NPI | 1649479940 |
|---|---|
| Doing Business As | CANYON RIDGE ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHARLES T CALDER President 702-655-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV S2-53) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |