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Organization
SAGE DENTAL
Active
Organization
SAGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (CFO)
(972) 869-3789
Entity
Organization
Contact information
Practice address
5010 GARTH RD, #204, BAYTOWN, TX 77521-2224
(972) 869-3789
(972) 869-3791
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
05/18/2022
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