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Organization
SAGE DENTAL OF BRANDON 2 PLLC
Active
Organization
SAGE DENTAL OF BRANDON 2 PLLC
Active
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
2114 W BRANDON BLVD, BRANDON, FL 33511-4704
(561) 999-9650
Mailing address
6600 CONGRESS AVE STE 150, BOCA RATON, FL 33487-1213
(561) 999-9650
(561) 431-2279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
05/19/2023
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