Organization
DENTAL MANAGEMENT GROUP LLC
Active
Parent organization
DENTAL MANAGEMENT GROUP LLC
Other names
Oral Surgery Center - Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL MANAGEMENT GROUP LLC
Authorized official
YASSER SEDHOM (BUSINESS DIRECTOR)
(303) 344-0810
Entity
Organization
Contact information
Practice address
11246 E MISSISSIPPI AVE, AURORA, CO 80012-3202
(303) 344-0810
Mailing address
11246 E MISSISSIPPI AVE, AURORA, CO 80012-3202
(303) 344-0810
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02066165
—
CO
Enumeration date
03/07/2018
Last updated
05/09/2023
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