NPI | 1336485960 |
---|---|
Doing Business As | NORTHGATE DENTAL |
Entity Type | Organization |
Authorized Contact | JOSHUA D CARTER Owner 719-488-2292 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 10358) |
Enumeration Date | 2012-12-31 |
Last Update Date | 2017-02-17 |