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Organization

SAGE DENTAL OF WEST HOLLYWOOD, PLLC

Active
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Organization

SAGE DENTAL OF WEST HOLLYWOOD, 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
6821 TAFT ST, HOLLYWOOD, FL 33024-5601
(561) 999-9650
Mailing address
951 BROKEN SOUND PKWY NW STE 250, BOCA RATON, FL 33487-3506
(561) 999-9650

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
01/18/2021
Last updated
01/20/2021
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