| NPI | 1316327604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAGE ELIZABETH POLLACK Owner 720-231-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00202525) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |