| NPI | 1033370523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES F GOGGANS President 970-257-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00552) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |