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Organization

SAGE DENTAL GROUP OF GEORGIA, LLC

Active
Other names
Sage Dental of Acworth
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY ROARK DMD, MS (SVP & CHIEF CLINICAL OFFICER)
(561) 999-9650
Entity
Organization

Contact information

Practice address
3329 COBB PKWY NW STE 300, ACWORTH, GA 30101-8841
(561) 999-9650
Mailing address
6600 CONGRESS AVE STE 150, BOCA RATON, FL 33487-1213

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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