| Associates In Maxillofacial And Oral Surgery, Pllc | |
|
755 Maleta Ln Castle Rock CO 80108-7610 | |
| (303) 217-8017 | |
| (719) 599-0575 |
| Full Name | Associates In Maxillofacial And Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 755 Maleta Ln, Castle Rock, Colorado |
| Authorized Official Name and Position | Nick Sundiam (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193005933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Maxillofacial And Oral Surgery, Pllc 320 E Fontanero St Ste 200 Colorado Springs CO 80907-7525 Ph: (719) 599-0500 | Associates In Maxillofacial And Oral Surgery, Pllc 755 Maleta Ln Castle Rock CO 80108-7610 Ph: (303) 217-8017 |
| NPI Number | 1104606664 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104606664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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