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Organization
SAGE DENTAL OF MIAMI LAKES PLLC
Active
Organization
SAGE DENTAL OF MIAMI LAKES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CRUZ DMD (CHIEF DENTAL DIRECTOR)
(561) 999-9650
Entity
Organization
Contact information
Practice address
16879 NW 67TH AVE, MIAMI LAKES, FL 33014-4203
(786) 456-1760
(561) 431-8169
Mailing address
951 BROKEN SOUND PKWY, SUITE 250, BOCA RATON, FL 33487-3507
(561) 999-9650
(561) 431-8169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
04/26/2017
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