| NPI | 1194242206 |
|---|---|
| Other Name | FAMILY AND IMPLANT DENTISTRY OF BOULDER |
| Entity Type | Organization |
| Authorized Contact | SAGE E POLLACK Owner 303-910-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DEN.00202525) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |