NPI | 1528354941 |
---|---|
Doing Business As | GATEWAY PARK FAMILY & COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOSHUA CARLTON ZENON Owner 303-307-8282 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9717) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2011-06-23 |