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Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ROARK DMD, MS (CHIEF CLINICAL OFFICER)
(561) 999-9650
Entity
Organization
Contact information
Practice address
2171 LAVISTA RD NE, ATLANTA, GA 30329-3915
(561) 999-9650
Mailing address
951 BROKEN SOUND PKWY NW STE 250, BOCA RATON, FL 33487-3506
(561) 999-9650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/11/2021
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