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NPI Code Detail

MEDICARE: DR. CHRISTOPHER KURANKO DDS

MEDICARE: DR. CHRISTOPHER KURANKO DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD5433AZ
21223G0001XGeneral Practice Dentistry4857NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14857OTHERNVNEVADA DENTAL LICENSE NUMBER

General Provider Information

NPI Number : 1023008703
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER KURANKO DDS
Provider Business Mailing Address
First Line : 2575 S CIMARRON RD
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89117-7653
Country : US
Telephone Number : 702-369-7441
Fax Number : 702-369-1852
Provider Business Practice Location Address
First Line : 2575 S CIMARRON RD
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89117-7653
Country : US
Telephone Number : 702-369-7441
Fax Number : 702-369-1852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 04/15/2013

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Directions to “ DR. CHRISTOPHER KURANKO DDS” Practice Location

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