Dental Management Group LLC

NPI #1679905665 in Thornton, Colorado

Provider Information

NPI Number: 1679905665
Entity Type: Organization
Organization Name: Dental Management Group LLC
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Aug 1, 2013
Last Updated: May 9, 2023

Practice Location

Address: 2220 EAST 104TH AVENUE
Address 2: SUITE 116
City: Thornton
State: Colorado
ZIP Code: 80233
Phone: (303) 344-0810

Authorized Official

Name: ASHRAF SEDHOM, M.D.
Title: PRESIDENT
Phone: (303) 344-0810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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