Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coronado Canyon Dentistree

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1043888936

Coronado Canyon Dentistree is an Oral and Maxillofacial Surgery (Dentist) in Henderson, Nevada. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

660 S Green Valley Pkwy Ste 110
Henderson, NV 89052-0431
Phone: (702) 610-8734
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1043888936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eleazar Santiago — Doctor · (702) 610-8734
Other names Eleazar Viray Santiago Gen Ptr; Eleazar Viray Santiago Gen Ptr
NPI enumeratedJune 16, 2021
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023
Mailing address660 S Green Valley Pkwy Ste 110, Henderson, NV 89052-0431

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