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Organization
SAGE DENTAL OF RIVERTOWN PLLC
Active
Organization
SAGE DENTAL OF RIVERTOWN PLLC
Active
Other names
Sage Dental of Rivertown PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ROARK (SVP & CHIEF CLINICAL OFFICER)
(561) 999-9650
Entity
Organization
Contact information
Practice address
205 RIVERTOWN SHOPS DR STE 104, ST JOHNS, FL 32259-7476
(561) 999-9650
Mailing address
PO BOX 931622, ATLANTA, GA 31193-1622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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