Organization
NESIBA SURGICAL ARTS PLLC
Active
Other names
Cherry Creek Oral Surgery and Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R NESIBA MD, DDS (OWNER)
(303) 777-1603
Entity
Organization
Contact information
Practice address
3955 E EXPOSITION AVE STE 520, DENVER, CO 80209-5030
(303) 777-1603
(303) 777-1694
Mailing address
PO BOX 1119, WICHITA, KS 67201-1119
(303) 777-1603
(303) 777-1694
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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