COLORADO WEST ORAL & MAXILLOFACIAL SURGERY
Medical Practice at 8 St, Grand Junction, CO

License number
Colorado 104240
Category
Medical Practice
Type
Specialist
Owner
Name: DR. STEPHEN S. KELLY DMD
Title: OWNER
Phone: (970) 245-2222
Address
Address
2530 N 8Th St STE 103, Grand Junction, CO 81501
National Provider ID: 1588824437
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COLORADO WEST ORAL & MAXILLOFACIAL SURGERY, PC

2530 N 8 St SUITE 103, Grand Junction, CO 81501

Registration:
Jan 14, 1993
State ID:
19931004853
Business type:
Corporation
Expiration:
Perpetual
Agent:
Colorado West Oral And Maxillofacial Surgery,2530 N 8 St SUITE 103, Grand Junction, CO 81501 (Physical)

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