Individual provider · Type 1 NPI

Steven A. Gonsalves, LAB TECHNICIAN

Dental Laboratory Technician · Fort Carson, CO

NPI number 1891200333 Active

Practice location

1667 Cochrane Cir Bldg 7495
Fort Carson, CO 80913-4603

Call (719) 526-5537 Map

Mailing address

1631 Wetzel Ave Bldg 815
Fort Carson, CO 80913-4095

Specialties and licenses

TaxonomyCodeLicense
Dental Laboratory Technician Primary 126900000XNone listed

Dental Laboratory Technician: An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary.

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About NPI 1891200333

Steven A. Gonsalves, LAB TECHNICIAN's National Provider Identifier is 1891200333, issued on Dec 6, 2017. The primary taxonomy on file is Dental Laboratory Technician (126900000X), and the practice location is in Fort Carson, CO. The record was last updated on Jun 29, 2022.