| NPI | 1316279656 |
|---|---|
| Other Name | NORTHGATE DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAUL R DODSWORTH Owner 719-488-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 06440) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |