Organization
COAL CREEK ORAL SURGERY AND DENTAL IMPLANT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS J HAYES DDS (OWNER)
(720) 588-2505
Entity
Organization
Contact information
Practice address
1771 CHEROKEE TRL, LAFAYETTE, CO 80026-7088
(720) 588-2505
Mailing address
1771 CHEROKEE TRL, LAFAYETTE, CO 80026-7088
(720) 588-2505
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8636
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84870052
—
CO
Enumeration date
11/23/2016
Last updated
11/23/2016
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