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Organization
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Active
Organization
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Active
Parent organization
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Other names
Oral Surgery Associates of Pueblo
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
3691 PARKER BLVD, PUEBLO, CO 81008-2278
(719) 212-0777
Mailing address
3691 PARKER BLVD, PUEBLO, CO 81008-2278
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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