Eleazar Viray Santiago Gen Ptr

LBN: Coronado Canyon Dentistree
Eleazar Viray Santiago Gen Ptr is an health care organization with primary practice located at 660 S Green Valley Pkwy Ste 110 , Henderson NV 89052-0431. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Coronado Canyon Dentistree can be contacted via phone (702) 610-8734, or through Santiago, Eleazar via phone (702) 610-8734.

Contact Information

Primary practice address
660 S Green Valley Pkwy Ste 110 Henderson NV 89052-0431
Phone: (702) 610-8734
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santiago, Eleazar
Phone: (702) 610-8734

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1043888936
LBN Legal business name Coronado Canyon Dentistree
DBA Doing business as Eleazar Viray Santiago Gen Ptr
Authorized official Santiago, Eleazar
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2021
Last updated Jun 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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