| NPI | 1093311300 |
|---|---|
| Doing Business As | CHERRY CREEK ORAL SURGERY AND DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | JOHN R NESIBA Owner 303-777-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |