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Organization
SAGE DENTAL OF FT LAUDERDALE, PLLC
Active
Organization
SAGE DENTAL OF FT LAUDERDALE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CRUZ DMD (CHEIF DENTAL DIRECTOR)
(561) 999-9650
Entity
Organization
Contact information
Practice address
6171 N FEDERAL HWY, FT LAUDERDALE, FL 33308-2227
(561) 641-5610
(561) 431-8169
Mailing address
951 BROKEN SOUND PKWY, SUITE 250, BOCA RATON, FL 33487
(561) 999-9650
(561) 431-8169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
02/24/2017
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