Organization
COLORADO FACIAL SURGERY PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM BENJAMIN WHITE PA-C (PRESIDENT)
(720) 209-0560
Entity
Organization
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-4500
Mailing address
834 S LEWIS ST, LAKEWOOD, CO 80226-3926
(720) 209-0560
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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