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Organization

IMPLANT AND ORAL SURGERY OF COLORADO PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY DRESHER (VP OF BILLING)
(405) 848-7974
Entity
Organization

Contact information

Practice address
3000 UNITED FOUNDERS BLVD, STE 237, OKLAHOMA CITY, OK 73112-3958
(405) 848-7974
(405) 848-0033
Mailing address
755 S PERRY ST, STE 300, CASTLE ROCK, CO 80104-1901
(303) 660-5651
(303) 660-1582

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8089
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02047637
CO
Enumeration date
05/04/2010
Last updated
05/04/2010
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