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Organization
SAGE DENTAL OF FORT MYERS AT ALICO COMMONS
Active
Organization
SAGE DENTAL OF FORT MYERS AT ALICO COMMONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ROARK (SVP & CHIEF CLINICAL OFFICER)
(561) 999-9650
Entity
Organization
Contact information
Practice address
16960 ALICO MISSION WAY STE 100-101, FORT MYERS, FL 33908-4844
(561) 999-9650
Mailing address
6600 CONGRESS AVE STE 150, BOCA RATON, FL 33487-1213
(561) 999-9650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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