IndividualActive
Steven Gonsalves, LAB TECHNICIAN
NPI 1891200333 · Dental Laboratory Technician · Fort Carson, CO
Provider details
- NPI number
- 1891200333
- Entity type
- Individual
- Primary specialty
- Dental Laboratory TechnicianDental Providers
- Credential
- LAB TECHNICIAN
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
1667 Cochrane Cir Bldg 7495
Fort Carson, CO 80913-4603
Phone: (719) 526-5537
Approximate (ZIP-level) locationGet directions
Mailing address
1631 Wetzel Ave Bldg 815
Fort Carson, CO 80913-4095
Registry dates
- Enumerated
- 2017-12-06
- Last updated
- 2022-06-29
- Certified
- 2022-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.