| NPI | 1578789319 |
|---|---|
| Doing Business As | EVERGREEN ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH GEORGLOE ABOOD Oral & Maxillofacial Surgeon 303-988-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CO 8896) |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: DC 8896) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |