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Organization
SAGE DENTAL OF MT DORA PLLC
Active
Organization
SAGE DENTAL OF MT DORA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ROARK DMD, MS, COO (PRESIDENT)
(561) 999-9650
Entity
Organization
Contact information
Practice address
17435 US HIGHWAY 441 STE 107, MOUNT DORA, FL 32757-6750
(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
06/01/2021
Last updated
06/08/2023
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