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1508030750
ORAL AND MAXILLOFACIAL SURGERY OF LONGMONT LLC
LONGMONT, CO
NPI
1508030750
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Entity Type
Organization
Authorized Contact
DOUGLAS L SQUIRE
Owner
303-772-8585
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO 8762)
Enumeration Date
2008-04-18
Last Update Date
2008-04-18
Business Address
ORAL AND MAXILLOFACIAL SURGERY OF LONGMONT LLC
1361 FRANCIS STREET SUITE 101
LONGMONT, CO 80501
Phone number: 303-772-8585
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Mailing Address
ORAL AND MAXILLOFACIAL SURGERY OF LONGMONT LLC
1361 FRANCIS STREET SUITE 101
LONGMONT, CO 80501
Phone number: 303-772-8585
Copy
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