Organization
ADVANCED ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEREE JUBIN (PRACTICE MANAGER)
(303) 768-8570
Entity
Organization
Contact information
Practice address
25521 E SMOKY HILL RD UNIT 100, AURORA, CO 80016-1346
(303) 768-8570
(303) 768-8572
Mailing address
25521 E SMOKY HILL RD UNIT 100, AURORA, CO 80016-1346
(303) 768-8570
(303) 768-8572
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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