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Individual

DR. SARA DEAN SCHWAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2656 WALNUT ST, DENVER, CO 80205-2231
(158) 816-0113
Mailing address
1459 27TH ST, DENVER, CO 80205-2243
(540) 323-1071

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00203490
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DEN00203490
CO DENTAL LICENSE
CO
Enumeration date
04/03/2018
Last updated
05/12/2022
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