Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Other names
Sage Dental of Braselton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CINDY ROARK (SVP & CHIEF CLINICAL OFFICER)
(561) 999-9650
Entity
Organization
Contact information
Practice address
3701 VILLAGE WAY STE C, BRASELTON, GA 30517-2201
(561) 999-9650
Mailing address
PO BOX 931622, ATLANTA, GA 31193-1622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
05/20/2025
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