# AGSA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518296987
- **Authorized official:** DR. ALAN HUGO GERBHOLZ DDS (DENTIST)
- **Authorized official phone:** (303) 810-9176

## Contact information

- **Practice address:** 850 W HAPPY CANYON RD, SUITE B, CASTLE ROCK, CO 80108-3908
- **Practice address phone:** (303) 688-5705
- **Practice address fax:** (303) 688-5731
- **Mailing address:** 850 W HAPPY CANYON RD, SUITE B, CASTLE ROCK, CO 80108-3908
- **Mailing address phone:** (303) 688-5705
- **Mailing address fax:** (303) 688-5731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 12/15/2009
- **Last updated:** 05/05/2011