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Organization
SAGE DENTAL-DEER PARK PLLC
Active
Organization
SAGE DENTAL-DEER PARK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
9001 SPENCER HWY, SUITE J, LA PORTE, TX 77571-3897
(972) 869-3789
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
07/13/2011
Last updated
05/18/2022
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