| NPI | 1659755338 |
|---|---|
| Former Legal Business Name | AFFILIATES IN ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA K OSTROM Reception 719-597-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 10759) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2017-02-13 |