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Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Other names
Sage Dental of Kennesaw
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ROARK DMD. MS (SVP & CHIEF CLINICAL OFFICER)
(561) 999-9650
Entity
Organization
Contact information
Practice address
1610 RIDENOUR BLVD NW STE 102103, KENNESAW, GA 30152-4484
(561) 999-9650
Mailing address
6600 CONGRESS AVE STE 150, BOCA RATON, FL 33487-1213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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