| NPI | 1003250382 |
|---|---|
| Doing Business As | RED ROCKS ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | TODD M. JUHLIN President / Oral Surgeon 641-430-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CO 10460) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |