Organization
COLORADO ORAL AND FACIAL COSMETIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYVAN FATHIMANI DDS FACS (OWNER)
(303) 381-7101
Entity
Organization
Contact information
Practice address
10535 PARK MEADOWS BLVD STE 250, LONE TREE, CO 80124-8401
(303) 381-7101
(303) 381-7101
Mailing address
10535 PARK MEADOWS BLVD STE 250, LONE TREE, CO 80124-8401
(303) 381-7101
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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