# DENTAL MANAGEMENT GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL MANAGEMENT GROUP LLC
- **Other names:** Oral Surgery Center - Medical
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700388592
- **Legal business name:** DENTAL MANAGEMENT GROUP LLC
- **Authorized official:** YASSER SEDHOM (BUSINESS DIRECTOR)
- **Authorized official phone:** (303) 344-0810

## Contact information

- **Practice address:** 11246 E MISSISSIPPI AVE, AURORA, CO 80012-3202
- **Practice address phone:** (303) 344-0810
- **Mailing address:** 11246 E MISSISSIPPI AVE, AURORA, CO 80012-3202
- **Mailing address phone:** (303) 344-0810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2018
- **Last updated:** 05/09/2023