Provider Demographics
NPI:1598109613
Name:VILLASENOR, SARAH ELIZABETH GLATT (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELIZABETH GLATT
Last Name:VILLASENOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:GLATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14697 DELAWARE ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9178
Mailing Address - Country:US
Mailing Address - Phone:913-709-8840
Mailing Address - Fax:
Practice Address - Street 1:14697 DELAWARE ST
Practice Address - Street 2:#210
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80023-9178
Practice Address - Country:US
Practice Address - Phone:303-650-0310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-19
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002019231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry