NPI | 1518487990 |
---|---|
Doing Business As | BRIARGATE DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS BAUMGARDNER Manager 719-598-1293 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2017-06-26 |
Last Update Date | 2021-01-22 |