NPI | 1922680388 |
---|---|
Doing Business As | COLORADO SPRINGS ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | MIKE COLE VP Insurance Plan Management 727-424-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2021-04-26 |
Last Update Date | 2021-04-26 |