Individual
DR. PATRICK DAVID GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1342 FLETCHER DR, ERIE, CO 80516-9071
(720) 272-6558
Mailing address
1342 FLETCHER DR, ERIE, CO 80516-9071
(720) 272-6558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CO5150
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
COTP23064A
—
CO
Enumeration date
09/16/2006
Last updated
07/09/2007
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