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Organization
SAGE DENTAL OF LAKE PARK PLLC
Active
Organization
SAGE DENTAL OF LAKE PARK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ROARK (CHIEF CLINICAL OFFICER)
(561) 999-9650
Entity
Organization
Contact information
Practice address
1230 NORTHLAKE BLVD, LAKE PARK, FL 33403-2050
(561) 999-9650
Mailing address
951 BROKEN SOUND PARKWAY, SUITE #250, BOCA RATON, FL 33487
(561) 999-9650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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