Organization
DR ASHRAF W SEDHOM BDS MD PC
Active
Other names
Santa Fe Oral Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
YASSER W SEDHOM (BUSINESS DIRECTOR)
(303) 344-0810
Entity
Organization
Contact information
Practice address
2210 S FEDERAL BLVD, SUITE 1, DENVER, CO 80219-5482
(303) 936-5922
(303) 936-5962
Mailing address
2210 S FEDERAL BLVD, SUITE 1, DENVER, CO 80219-5482
(303) 936-5922
(303) 936-5962
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6616
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02066165
—
CO
05
—
34278052
—
CO
Enumeration date
10/10/2016
Last updated
05/09/2023
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