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Individual

DR. SARA POURKAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
550 THORNTON PKWY UNIT 240A, THORNTON, CO 80229-2172
(303) 280-8878
(303) 280-8993
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
(719) 583-1801

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00201908
CO
1223G0001X
General Practice Dentistry
DS038454
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32188021
CO
Enumeration date
10/08/2010
Last updated
02/15/2013
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