NPI | 1386398667 |
---|---|
Doing Business As | ALTITUDE ORAL AND FACIAL SURGERY PLLC |
Entity Type | Organization |
Authorized Contact | BRIAN FANGMAN Owner/Oral Surgeron 720-328-4990 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Enumeration Date | 2022-02-07 |
Last Update Date | 2022-02-08 |