Organization
BLUE RIVER ORAL SURGERY
Active
Other names
ALPINE O.M.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL L H HEGGLAND DDS (OWNER)
(970) 668-1314
Entity
Organization
Contact information
Practice address
975 NORTH TEN MILE DRIVE, SUITE E 11, FRISCO, CO 80443-4998
(970) 668-1314
(970) 668-1057
Mailing address
PO BOX 4998, FRISCO, CO 80443-4998
(970) 668-1314
(970) 668-1057
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
8755
CO
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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