Provider Demographics
NPI:1598882730
Name:KANIAN, VICTOR (DMD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:
Last Name:KANIAN
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 1:9053 S PECOS RD
Mailing Address - Street 2:SUITE 3010
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7177
Mailing Address - Country:US
Mailing Address - Phone:702-795-3368
Mailing Address - Fax:
Practice Address - Street 1:9053 S PECOS RD
Practice Address - Street 2:SUITE 3010
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7177
Practice Address - Country:US
Practice Address - Phone:702-795-3368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4595122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist