NPI | 1740834381 |
---|---|
Doing Business As | COLORADO ORAL SURGERY GROUP |
Entity Type | Organization |
Authorized Contact | MICHELLE JOHNSON Credentialing Specialist 509-315-8338 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2019-07-31 |
Last Update Date | 2019-07-31 |