| NPI | 1710763495 |
|---|---|
| Doing Business As | AMOS |
| Entity Type | Organization |
| Authorized Contact | JENNY ORGANISTA Director Of Rcm 719-300-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-22 |