Fangman Oral and Facial Surgery Professional LLC
NPI #1386398667 in Commerce City, Colorado
Provider Information
- NPI Number
- 1386398667
- Entity Type
- Organization
- Organization Name
- Fangman Oral and Facial Surgery Professional LLC
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Feb 7, 2022
- Last Updated
- Feb 8, 2022
Practice Location
- Address
- 18335 E 103RD AVE UNIT 102
- City
- Commerce City
- State
- Colorado
- ZIP Code
- 80022-3103
- Phone
- (720) 328-4990
Authorized Official
- Name
- BRIAN FANGMAN, DDS
- Title
- OWNER/ORAL SURGERON
- Phone
- (720) 328-4990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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