Blue River Oral Surgery

NPI #1578706651 in Frisco, Colorado

Provider Information

NPI Number
1578706651
Entity Type
Organization
Organization Name
Blue River Oral Surgery
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Apr 20, 2009
Last Updated
Apr 20, 2009

Practice Location

Address
975 NORTH TEN MILE DRIVE
Address 2
SUITE E 11
City
Frisco
ZIP Code
80443-4998
Phone
(970) 668-1314

Authorized Official

Name
DR. KARL L H HEGGLAND, DDS
Title
OWNER
Phone
(970) 668-1314

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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