Organization
CHEYENNE MOUNTAIN ORAL SURGERY PC
Active
Organization
CHEYENNE MOUNTAIN ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNE JENSEN (OWNER)
(720) 603-4800
Entity
Organization
Contact information
Practice address
640 SOUTHPOINTE CT STE 150, COLORADO SPRINGS, CO 80906-3884
(720) 603-4800
Mailing address
4643 S ULSTER ST STE 300, DENVER, CO 80237-3028
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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