Provider Demographics
NPI:1952037285
Name:SARAH E VILLASENOR DDS LLC
Entity Type:Organization
Organization Name:SARAH E VILLASENOR DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLASENOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-758-0223
Mailing Address - Street 1:1780 S BELLAIRE ST STE 655
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4328
Mailing Address - Country:US
Mailing Address - Phone:303-758-0223
Mailing Address - Fax:
Practice Address - Street 1:1780 S BELLAIRE ST STE 655
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4328
Practice Address - Country:US
Practice Address - Phone:303-758-0223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty