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Organization
COMFORT DENTAL ORAL SURGERY COLORADO SPRINGS LLC
Active
Organization
COMFORT DENTAL ORAL SURGERY COLORADO SPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR JOHNSON DMD (MANAGING PARTNER)
(720) 432-8738
Entity
Organization
Contact information
Practice address
556 W. HWY 105, MONUMENT, CO 80132
(720) 432-8738
Mailing address
14095 W 62ND AVE, ARVADA, CO 80004-3613
(303) 919-1902
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00203418
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN.00203577
CO
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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