Individual
JOHN SAMUEL SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1959 NE PACIFIC ST, C212, BOX 356340, SEATTLE, WA 98195-0001
(206) 543-0065
Mailing address
1959 NE PACIFIC ST, C212, BOX 356340, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DR20000183
WA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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