Organization
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY PLLC - CASTLE ROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL GIMENEZ (CREDENTIALING SENIOR MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
755 MALETA LN, CASTLE ROCK, CO 80108-7610
(303) 217-8017
(719) 599-0575
Mailing address
1755 TELSTAR DR STE 210, COLORADO SPRINGS, CO 80920-1018
(719) 599-0500
(719) 599-0575
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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