Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ROARK DMD, MS (CHIEF CLINICAL OFFICER)
(561) 999-9650
Entity
Organization
Contact information
Practice address
2171 LAVISTA RD NE, ATLANTA, GA 30329-3915
(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
06/08/2021
Last updated
06/11/2021
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