Organization
AGSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN HUGO GERBHOLZ DDS (DENTIST)
(303) 810-9176
Entity
Organization
Contact information
Practice address
850 W HAPPY CANYON RD, SUITE B, CASTLE ROCK, CO 80108-3908
(303) 688-5705
(303) 688-5731
Mailing address
850 W HAPPY CANYON RD, SUITE B, CASTLE ROCK, CO 80108-3908
(303) 688-5705
(303) 688-5731
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/15/2009
Last updated
05/05/2011
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