Organization
SAGE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILEANA GARCIA CORRETJER DDS, MS (DOCTOR OWNER)
(636) 220-3553
Entity
Organization
Contact information
Practice address
260 LAMP AND LANTERN VLG, TOWN AND COUNTRY, MO 63017-8209
(636) 220-3553
Mailing address
260 LAMP AND LANTERN VLG, TOWN AND COUNTRY, MO 63017-8209
(636) 220-3553
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2010015739
MO
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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