Excellence In Oral & Maxillofacial Surgery
Dentist, Oral and Maxillofacial Surgery in Colorado Springs, CO. Organization (NPI-2).
NPI number1114337136
StatusActive
Last updated in NPPESApr 29, 2014
Details
- NPI
- 1114337136
- Entity type
- Organization (NPI-2)
- Legal business name
- Excellence In Oral & Maxillofacial Surgery
- Organization subpart
- No
- Enumeration date
- Apr 29, 2014
- Last updated
- Apr 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 6709 | CO | Yes |
Practice location
1755 Telstar DrSuite 210
Colorado Springs, CO 80920-1016
Phone 719-592-9222 · Fax 719-592-9682
Mailing address
1755 Telstar DrSuite 210
Colorado Springs, CO 80920-1016
Phone 719-592-9222 · Fax 719-592-9682
Authorized official
Vikki Biernacki
Practice Manager
7195929222
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All 48 Oral and Maxillofacial Surgery (Dentist) providers in Colorado Springs · All 25,904 providers in Colorado Springs
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