Individual
DR. MICHAEL WILLIAM GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4485 WADSWORTH BLVD, SUITE 108, WHEAT RIDGE, CO 80033-3318
(303) 422-3800
Mailing address
4485 WADSWORTH BLVD, SUITE 108, WHEAT RIDGE, CO 80033-3318
(303) 422-3800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
HDL-04409
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25926039
—
CO
Enumeration date
03/30/2007
Last updated
07/08/2007
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