| NPI | 1083267629 |
|---|---|
| Doing Business As | DERBY CITY ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | GINA ABROTSKY Credentialing Specialist 720-603-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |