Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CHANG DMD (CHIEF DENTAL DIRECTOR)
(678) 765-9930
Entity
Organization
Contact information
Practice address
3410 BUFORD DR, E-780, BUFORD, GA 30519-4900
(678) 765-9930
(561) 431-8169
Mailing address
6600 CONGRESS AVE STE 150, BOCA RATON, FL 33487-1213
(678) 765-9930
(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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