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Organization
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Active
Organization
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURNACE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
1644 MEDICAL CENTER PT # 101, COLORADO SPRINGS, CO 80907-5764
(719) 497-9162
(719) 597-4060
Mailing address
1644 MEDICAL CENTER PT STE 101, COLORADO SPRINGS, CO 80907-5765
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
05/10/2019
Last updated
11/29/2023
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