| Santa Fe Oral Surgery Center | |
|
2210 S Federal Blvd Suite 1 Denver CO 80219-5482 | |
| (303) 936-5922 | |
| (303) 936-5962 |
| Full Name | Santa Fe Oral Surgery Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2210 S Federal Blvd, Denver, Colorado |
| Authorized Official Name and Position | Yasser W Sedhom (BUSINESS DIRECTOR) |
| Authorized Official Contact | 3033440810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Oral Surgery Center 2210 S Federal Blvd Suite 1 Denver CO 80219-5482 Ph: (303) 936-5922 | Santa Fe Oral Surgery Center 2210 S Federal Blvd Suite 1 Denver CO 80219-5482 Ph: (303) 936-5922 |
| NPI Number | 1508316902 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508316902 | NPI | - | NPPES |
| 02066165 | Medicaid | CO | |
| 34278052 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6616 (Colorado) | Primary |
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