| NPI | 1154869121 |
|---|---|
| Doing Business As | FAMILY AND IMPLANT DENTISTRY OF LAFAYETTE |
| Entity Type | Organization |
| Authorized Contact | SAGE POLLACK Owner 303-494-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00202525) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |