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Organization
DENVER METRO OMS PC
Active
Organization
DENVER METRO OMS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A CLINE (PRACTICE ADMINISTRATOR)
(303) 321-0333
Entity
Organization
Contact information
Practice address
4500 E CHERRY CREEK SOUTH DR, DENVER, CO 80246-1518
(303) 321-0333
(303) 393-0617
Mailing address
4500 E CHERRY CREEK SOUTH DR, DENVER, CO 80246-1518
(303) 321-0333
(303) 393-0617
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
Other
Enumeration date
12/18/2006
Last updated
06/10/2020
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