# GRAND JUNCTION ORAL SURGERY ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1114008224
- **Authorized official:** DR. KENNETH EUGENE PERINO DDS (OWNER)
- **Authorized official phone:** (970) 241-2820

## Contact information

- **Practice address:** 2532 PATTERSON RD, SUITE 10, GRAND JUNCTION, CO 81505-1098
- **Practice address phone:** (970) 241-2820
- **Practice address fax:** (970) 248-9553
- **Mailing address:** 2532 PATTERSON ROAD, SUITE 10, GRAND JUNCTION, CO 81505-1098
- **Mailing address phone:** (970) 241-2820
- **Mailing address fax:** (970) 248-9553

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 03/04/2010