Cherry Creek Oral & Maxillofacial Surgery, Pc

NPI 1043373004 - Dentist - 1223S0112X

NPI Details
NPI 1043373004
Enumeration Date 12/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CLYDE E CLYDE
Position PRESIDENT
Phone (303) 777-1603
Fax
Practice Location
3955 E EXPOSITION AVE
SUITE 520
DENVER CO, 80209-5000, US
Phone (303) 777-1603
Fax
Business Location
3955 E EXPOSITION AVE
SUITE 520
DENVER CO, 80209-5000, US
Phone (303) 777-1603
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Colorado
License Number 7506
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According to our database, Cherry Creek Oral & Maxillofacial Surgery, Pc NPI is 1043373004, taxonomy code is 1223S0112X and license number is 7506, license state is located at Colorado. Cherry Creek Oral & Maxillofacial Surgery, Pc physically located at 3955 E Exposition Ave, Denver CO, 80209-5000. NPI Number 1033115704 has the healthcare provider type.

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1043373004 NPI number is provided on an as is basis without warranty of any kind. 1043373004 is maintained by the National Plan & Provider Enumeration System. The contents of Cherry Creek Oral & Maxillofacial Surgery, Pc are for informational purposes only.