| NPI | 1013922475 |
|---|---|
| Doing Business As | ORAL AND MAXILLOFACIAL SPECIALIST PC. |
| Entity Type | Organization |
| Authorized Contact | RONALD D THOMAN President 719-590-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 6376) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-06-20 |