| Family And Implant Dentistry Of Boulder | |
|
4150 Darley Ave Ste 7 Boulder CO 80305-6537 | |
| (303) 989-4444 | |
| Not Available |
| Full Name | Family And Implant Dentistry Of Boulder |
|---|---|
| Speciality | Dentist |
| Location | 4150 Darley Ave Ste 7, Boulder, Colorado |
| Authorized Official Name and Position | Sage E Pollack (OWNER) |
| Authorized Official Contact | 3039101910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Implant Dentistry Of Boulder 4150 Darley Ave Ste 7 Boulder CO 80305-6537 Ph: (303) 989-4444 | Family And Implant Dentistry Of Boulder 4150 Darley Ave Ste 7 Boulder CO 80305-6537 Ph: (303) 989-4444 |
| NPI Number | 1194242206 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194242206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN.00202525 (* (Not Available)) | Primary |
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