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Organization

DR ASHRAF W SEDHOM BDS MD PC

Active
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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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