Colorado West Oral & Maxillofacial Surgery PC
NPI #1588824437 in Grand Junction, Colorado
Provider Information
- NPI Number
- 1588824437
- Entity Type
- Organization
- Organization Name
- Colorado West Oral & Maxillofacial Surgery PC
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 13, 2008
- Last Updated
- Jan 14, 2021
Practice Location
- Address
- 2530 N 8TH ST STE 103
- City
- Grand Junction
- State
- Colorado
- ZIP Code
- 81501-8856
- Phone
- (970) 245-2222
Authorized Official
- Name
- DR. STEPHEN S. KELLY, DMD
- Title
- PRESIDENT
- Phone
- (970) 245-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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