| NPI | 1174702880 |
|---|---|
| Doing Business As | J.C. BLEY OMS |
| Entity Type | Organization |
| Authorized Contact | JUSTIN C BLEY Owner 970-506-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CO 9050) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |