| NPI | 1023604535 |
|---|---|
| Doing Business As | ALTITUDE ORAL AND FACIAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN JOHN FANGMAN President/CEO 720-328-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2020-12-18 |