Organization
WHEAT RIDGE ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MUSELLA DDS (PRESIDENT)
(303) 421-4010
Entity
Organization
Contact information
Practice address
7760 W 38TH AVE, STE. 102, WHEAT RIDGE, CO 80033-6136
(303) 421-4010
(303) 423-9051
Mailing address
7760 W 38TH AVE, STE. 102, WHEAT RIDGE, CO 80033-6136
(303) 421-4010
(303) 423-9051
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
104923
CO
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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