| NPI | 1962642256 |
|---|---|
| Doing Business As | BRIARGATE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS RICHARD BAUMGARDNER Owner/Dentist 719-487-8961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 8566) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |