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Organization
MOUNTAIN ORAL & MAXILLOFACIAL SURGERY
Active
Organization
MOUNTAIN ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CORY RYAN MD. DDS (PRESIDENT)
(404) 694-2584
Entity
Organization
Contact information
Practice address
7913 ALLISON WAY, SUITE 101, ARVADA, CO 80005-5032
(303) 422-2990
(303) 425-4386
Mailing address
7913 ALLISON WAY, SUITE 101, ARVADA, CO 80005-5032
(303) 422-2990
(303) 425-4386
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
00201797
CO
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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