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Organization
SAGE DENTAL OF ALAFAYA 2 PLLC
Active
Organization
SAGE DENTAL OF ALAFAYA 2 PLLC
Active
Other names
Sage Dental of Alafaya 2 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
12950 E COLONIAL DR STE 124, ORLANDO, FL 32826-4609
(561) 999-9650
Mailing address
PO BOX 931622, ATLANTA, GA 31193-1622
(561) 999-9650
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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