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Individual

ERNEST GARRED GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
255 W 64TH ST, LOVELAND, CO 80538
(970) 635-4455
Mailing address
255 W 64TH ST, LOVELAND, CO 80538-1197
(970) 635-4455

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00203004
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467860890
DENTAL
CO
Enumeration date
07/29/2014
Last updated
04/09/2019
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