Organization
SAGE DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA A FARIA (OFFICE MANAGER)
(732) 528-6007
Entity
Organization
Contact information
Practice address
1520 ROUTE 138, WALL, NJ 07719-3706
(732) 528-6007
(732) 528-6898
Mailing address
1520 ROUTE 138, WALL, NJ 07719-3706
(732) 528-6007
(732) 528-6898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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