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Organization

ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC

Active
Parent organization
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
Other names
AMOS - Castle Rock
Organization subpart
Yes

Provider details

NPI number
Legal business name
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
Authorized official
NICK SUNDIAM (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization

Contact information

Practice address
755 MALETA LN, CASTLE ROCK, CO 80108-7610
(303) 217-8017
(719) 599-0575
Mailing address
1755 TELSTAR DR STE 210, COLORADO SPRINGS, CO 80920-1018
(719) 599-0500
(719) 599-0575

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
10/03/2023
Last updated
09/12/2025
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