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Organization
SAGE DENTAL OF CAPE CORAL NORTH, PLLC
Active
Organization
SAGE DENTAL OF CAPE CORAL NORTH, PLLC
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
1511 NE PINE ISLAND ROAD, SUITE 140, CAPE CORAL, FL 33909
(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
08/09/2024
Last updated
08/09/2024
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