Organization
PEAK ORAL & MAXILLOFACIAL SURGERY CENTER
Active
Organization
PEAK ORAL & MAXILLOFACIAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAEMAN NOORI DDS (OWNER)
(303) 232-5637
Entity
Organization
Contact information
Practice address
2290 KIPLING ST, SUITE 2, LAKEWOOD, CO 80215-1578
(303) 232-5637
Mailing address
2290 KIPLING ST, SUITE 2, LAKEWOOD, CO 80215-1578
(303) 232-5637
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10330
CO
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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