Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 00515 | CO |
NPI | 1043444128 |
---|---|
Provider Name | David G. Sabott |
First Address | Brighton, CO 80601-3102 |
Second Address | Brighton, CO 80601-3102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2009 |
Last Update Date | 05/05/2009 |