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Organization

HIGHLANDS RANCH CENTER FOR AESTHETIC & MAXILLOFACIAL SURGERY

Active
Other names
Highlands Ranch Oral Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN JAMES COLM D.M.D (OWNER)
(303) 791-0422
Entity
Organization

Contact information

Practice address
200 W COUNTY LINE RD, SUITE 230, HIGHLANDS RANCH, CO 80129-2360
(303) 791-0422
(303) 791-0564
Mailing address
200 W COUNTY LINE RD, SUITE 230, HIGHLANDS RANCH, CO 80129-2360
(303) 791-0422
(303) 791-0564

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7009
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45852316
CO
Enumeration date
11/01/2012
Last updated
11/01/2012
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