Glenwood Oral Surgery, P.c.

NPI 1043480452 - Clinic/Center - 261QS0112X

NPI Details
NPI 1043480452
Enumeration Date 03/03/2008
Last Updated 03/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GEORGE WAYNE GEORGE
Position OWNER
Phone (970) 945-9644
Fax (970) 945-0760
Practice Location
406 SOUTH HYLAND PARK DR
SUITE B
GLENWOOD SPRINGS CO, 81601, US
Phone (970) 945-9644
Fax (970) 945-0760
Business Location
406 SOUTH HYLAND PARK DR
SUITE B
GLENWOOD SPRINGS CO, 81601, US
Phone (970) 945-9644
Fax (970) 945-0760
Toxanomy
Taxonomy Code 261QS0112X
License State Colorado
License Number HD104468
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According to our database, Glenwood Oral Surgery, P.c. NPI is 1043480452, taxonomy code is 261QS0112X and license number is HD104468, license state is located at Colorado. Glenwood Oral Surgery, P.c. physically located at 406 South Hyland Park Dr, Glenwood Springs CO, 81601. NPI Number 1033115704 has the healthcare provider type.

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1043480452 NPI number is provided on an as is basis without warranty of any kind. 1043480452 is maintained by the National Plan & Provider Enumeration System. The contents of Glenwood Oral Surgery, P.c. are for informational purposes only.