Provider Demographics
NPI:1699467647
Name:MARQUEZ, CHRISTIAN JAMES (DMD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:JAMES
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 S GREEN VALLEY PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-0455
Mailing Address - Country:US
Mailing Address - Phone:702-560-5231
Mailing Address - Fax:702-560-5249
Practice Address - Street 1:725 S GREEN VALLEY PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-0455
Practice Address - Country:US
Practice Address - Phone:702-560-5231
Practice Address - Fax:702-560-5249
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV79971223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice