| NPI | 1952791964 |
|---|---|
| Doing Business As | ALTITUDE ORAL MAXILLOFACIAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN FANGMAN Oral Maxillofacial Surgeon/Owner 720-328-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 202239) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2022-02-08 |