| NPI | 1700388592 |
|---|---|
| Doing Business As | ORAL SURGERY CENTER - MEDICAL |
| Entity Type | Organization |
| Authorized Contact | YASSER SEDHOM Business Director 303-344-0810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-05-09 |