Organization
SAGE DENTISTRY IV PLLC
Active
Other names
Family and Implant Dentistry of Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAGE POLLACK DMD (OWNER)
(303) 494-1550
Entity
Organization
Contact information
Practice address
1120 W SOUTH BOULDER RD, SUITE 204, LAFAYETTE, CO 80026-8951
(720) 638-2169
Mailing address
1120 W SOUTH BOULDER RD, SUITE 204, LAFAYETTE, CO 80026-8951
(720) 638-2169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00202525
CO
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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