Organization
NESIBA SURGICAL ARTS PLLC
Active
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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