Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Other names
Sage Dental of Suwanee
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CHANG DMD (CHIEF DENTAL DIRECTOR)
(678) 765-9133
Entity
Organization
Contact information
Practice address
3429 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2433
(678) 765-9133
(561) 431-8169
Mailing address
6600 CONGRESS AVE STE 150, BOCA RATON, FL 33487-1213
(678) 765-9133
(561) 431-8169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
05/18/2023
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