Colorado Facial Plastic Surgery Center INC

NPI #1114068376 in Englewood, Colorado

Provider Information

NPI Number: 1114068376
Entity Type: Organization
Organization Name: Colorado Facial Plastic Surgery Center INC
Primary Specialty: Specialist
Enumeration Date: Feb 9, 2007
Last Updated: Mar 1, 2016

Practice Location

Address: 3600 S LOGAN ST
Address 2: SUITE 100
City: Englewood
State: Colorado
ZIP Code: 80113-3766
Phone: (303) 839-7980

Authorized Official

Name: MARIO J IMOLA, MD, DDS
Title: OWNER
Phone: (303) 839-7980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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