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Organization
SAGE DENTAL OF LAKE NONA
Active
Organization
SAGE DENTAL OF LAKE NONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ROARK (SVP & CHIEF CLINICAL OFFICER)
(561) 999-9650
Entity
Organization
Contact information
Practice address
11202 DOWDEN RD, UNIT #1, ORLANDO, FL 32832
(321) 319-9711
Mailing address
PO BOX 931622, ATLANTA, GA 31193-1622
(561) 999-9650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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