Oral and Maxillofacial Surgery of Longmont LLC
NPI #1508030750 in Longmont, Colorado
Provider Information
- NPI Number
- 1508030750
- Entity Type
- Organization
- Organization Name
- Oral and Maxillofacial Surgery of Longmont LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 18, 2008
- Last Updated
- Apr 18, 2008
Practice Location
Authorized Official
- Name
- DOUGLAS L SQUIRE, DDS
- Title
- OWNER
- Phone
- (303) 772-8585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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