Organization
COLORADO SPRINGS ORAL AND FACIAL SURGERY
Active
Other names
Affiliates in Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA K OSTROM (RECEPTION)
(719) 597-4060
Entity
Organization
Contact information
Practice address
3100 N ACADEMY BLVD, #213, COLORADO SPRINGS, CO 80917-5321
(719) 597-4060
(719) 574-2140
Mailing address
3100 N ACADEMY BLVD, #213, COLORADO SPRINGS, CO 80917-5321
(719) 597-4060
(719) 574-2140
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10759
CO
Other
Enumeration date
07/13/2015
Last updated
02/13/2017
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