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Organization
SAGE DENTAL OF COCONUT CREEK , PLLC
Active
Organization
SAGE DENTAL OF COCONUT CREEK , PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CRUZ DMD (CHIEF DENTAL DIRECTORS)
(561) 999-9650
Entity
Organization
Contact information
Practice address
5463 LYONS RD, SUITE C, COCONUT CREEK, FL 33073-2828
(954) 571-7123
(561) 431-8169
Mailing address
951 BROKEN SOUND PKWY, SUITE 250, BOCA RATON, FL 33487
(561) 999-9650
(561) 431-8169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN6483
FL
Other
Enumeration date
09/04/2008
Last updated
02/24/2017
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