Advanced Oral & Maxillofacial Surgery Center | |
6160 Tutt Blvd Suite 250 Colorado Springs CO 80923-3500 | |
(719) 359-8652 | |
(719) 623-5771 |
Full Name | Advanced Oral & Maxillofacial Surgery Center |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 6160 Tutt Blvd, Colorado Springs, Colorado |
Authorized Official Name and Position | Rhett Marvin Quist (OWNER) |
Authorized Official Contact | 7193598652 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Oral & Maxillofacial Surgery Center 6160 Tutt Blvd Suite 250 Colorado Springs CO 80923-3500 Ph: (719) 359-8652 | Advanced Oral & Maxillofacial Surgery Center 6160 Tutt Blvd Suite 250 Colorado Springs CO 80923-3500 Ph: (719) 359-8652 |
NPI Number | 1326321282 |
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Provider Enumeration Date | 09/27/2011 |
Last Update Date | 09/27/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326321282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8040 (Colorado) | Primary |
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