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Organization
SAGE DENTAL OF COOPER CITY, PLLC
Active
Organization
SAGE DENTAL OF COOPER CITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CRUZ DMD (CHIEF DENTAL DIRECTOR)
(561) 999-9650
Entity
Organization
Contact information
Practice address
12129 SHERIDAN ST, COOPER CITY, FL 33026-1400
(954) 433-1888
(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
122300000X
Dentist
Primary
DN6483
FL
Other
Enumeration date
12/09/2009
Last updated
02/24/2017
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