Organization
FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
Active
Organization
FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
Active
Other names
Altitude Oral Maxillofacial Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN FANGMAN DDS (ORAL MAXILLOFACIAL SURGEON/OWNER)
(720) 328-4990
Entity
Organization
Contact information
Practice address
1440 BLAKE ST STE 100, DENVER, CO 80202-1475
(720) 328-4990
(720) 328-4994
Mailing address
1440 BLAKE ST STE 100, DENVER, CO 80202-1475
(720) 328-4990
(720) 328-4994
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
202239
CO
Other
Enumeration date
01/28/2015
Last updated
02/08/2022
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