# ADVANCED ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073109690
- **Authorized official:** CHEREE JUBIN (PRACTICE MANAGER)
- **Authorized official phone:** (303) 768-8570

## Contact information

- **Practice address:** 10120 E DRY CREEK RD STE 100, ENGLEWOOD, CO 80112-2772
- **Practice address phone:** (303) 768-8570
- **Practice address fax:** (303) 768-8570
- **Mailing address:** 10120 E DRY CREEK RD STE 100, ENGLEWOOD, CO 80112-2772
- **Mailing address phone:** (303) 768-8570
- **Mailing address fax:** (303) 768-8572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2020
- **Last updated:** 12/17/2020