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Organization
SAGE DENTAL OF DAYTONA AT CORNERSTONE, PLLC
Active
Organization
SAGE DENTAL OF DAYTONA AT CORNERSTONE, PLLC
Active
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
1540 CORNERSTONE BLVD STE 100, DAYTONA BEACH, FL 32117-7144
(470) 990-8722
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
11/30/2022
Last updated
05/19/2023
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