NPI 1891200333

Steven a Gonsalves, LABTECHNICIAN

Practitioner Dental Laboratory Technician Fort Carson, CO

Practice location

Address: 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603
Phone: (719) 526-5537
Mailing address: 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X

Other Dental Laboratory Technician providers in Colorado →

Registry record

NPI: 1891200333
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2017
Record last updated: 29 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.