Individual
DR. ETHAN T GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7470 W 52ND AVE, ARVADA, CO 80002-3710
(303) 475-0037
Mailing address
6426 COORS ST, ARVADA, CO 80004-2146
(315) 412-5675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205169
CO
Other
Enumeration date
07/13/2022
Last updated
07/17/2022
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