| Family And Implant Dentistry Of Lafayette | |
|
1120 W South Boulder Rd Suite 204 Lafayette CO 80026-8951 | |
| (720) 638-2169 | |
| Not Available |
| Full Name | Family And Implant Dentistry Of Lafayette |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1120 W South Boulder Rd, Lafayette, Colorado |
| Authorized Official Name and Position | Sage Pollack (OWNER) |
| Authorized Official Contact | 3034941550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Implant Dentistry Of Lafayette 1120 W South Boulder Rd Suite 204 Lafayette CO 80026-8951 Ph: (720) 638-2169 | Family And Implant Dentistry Of Lafayette 1120 W South Boulder Rd Suite 204 Lafayette CO 80026-8951 Ph: (720) 638-2169 |
| NPI Number | 1154869121 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154869121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 00202525 (Colorado) | Primary |
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