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Organization

COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC

Active
Parent organization
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Other names
Colorado Springs Oral Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization

Contact information

Practice address
13540 MEADOWGRASS DR STE 215, COLORADO SPRINGS, CO 80921-3012
(719) 286-9725
Mailing address
13540 MEADOWGRASS DR STE 215, COLORADO SPRINGS, CO 80921-3012
(719) 286-9725

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
04/26/2021
Last updated
04/26/2021
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