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Organization

SAGE DENTAL OF GARDENDALE, PLLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
655 FIELDSTOWN RD, GARDENDALE, AL 35071-2411
(205) 386-3041
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
07/03/2024
Last updated
07/03/2024
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