| NPI | 1730701426 |
|---|---|
| Doing Business As | BLUE SKY ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DAVID THURGOOD President 970-498-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |