| Grand Junction Oral Surgery Associates, P.c. | |
|
2532 Patterson Rd Suite 10 Grand Junction CO 81505-1098 | |
| (970) 241-2820 | |
| (970) 248-9553 |
| Full Name | Grand Junction Oral Surgery Associates, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2532 Patterson Rd, Grand Junction, Colorado |
| Authorized Official Name and Position | Kenneth Eugene Perino (OWNER) |
| Authorized Official Contact | 9702412820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Junction Oral Surgery Associates, P.c. 2532 Patterson Road Suite 10 Grand Junction CO 81505-1098 Ph: (970) 241-2820 | Grand Junction Oral Surgery Associates, P.c. 2532 Patterson Rd Suite 10 Grand Junction CO 81505-1098 Ph: (970) 241-2820 |
| NPI Number | 1114008224 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114008224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Colorado) | Primary |
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