Organization
DESERT SOUTHWEST ORAL AND FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN B SIKES DMD (DOCTOR/OWNER)
(970) 516-4100
Entity
Organization
Contact information
Practice address
33 N ELM ST STE B, CORTEZ, CO 81321-3105
(970) 516-4100
(970) 632-6178
Mailing address
33 N ELM ST STE B, CORTEZ, CO 81321-3105
(970) 516-4100
(970) 632-6178
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
09/17/2024
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