# ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY PLLC - CASTLE ROCK

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

## Provider details

- **NPI number:** 1609716646
- **Authorized official:** ANGEL GIMENEZ (CREDENTIALING SENIOR MANAGER)
- **Authorized official phone:** (719) 300-5933

## Contact information

- **Practice address:** 755 MALETA LN STE 104-A, CASTLE ROCK, CO 80108-7610
- **Practice address phone:** (303) 217-8017
- **Practice address fax:** (719) 599-0575
- **Mailing address:** 755 MALETA LN STE 104-A, CASTLE ROCK, CO 80108-7610
- **Mailing address phone:** (303) 217-8017
- **Mailing address fax:** (719) 599-0575

## 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:** 03/30/2026
- **Last updated:** 10/15/2026
