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Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Other names
Sage Dental of Lawrenceville
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ROARK DMD, MS (SVP & CHIEF CLINICAL OFFICER)
(561) 999-9650
Entity
Organization
Contact information
Practice address
860 DULUTH HWY STE 1030, LAWRENCEVILLE, GA 30043-5349
(470) 990-8721
Mailing address
951 BROKEN SOUND PKWY NW STE 250, BOCA RATON, FL 33487-3506
(561) 999-9650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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