| Sage Dental Of Lake Mary Pllc | |
|
3801 W Lake Mary Blvd Suite 111 Lake Mary FL 32746-6159 | |
| (407) 936-3400 | |
| (561) 431-8169 |
| Full Name | Sage Dental Of Lake Mary Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3801 W Lake Mary Blvd, Lake Mary, Florida |
| Authorized Official Name and Position | Antonio Cruz (CHIEF DENTAL DIRECTOR) |
| Authorized Official Contact | 5619999650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Dental Of Lake Mary Pllc 951 Broken Sound Pkwy Suite 250 Boca Raton FL 33487-3507 Ph: (561) 999-9650 | Sage Dental Of Lake Mary Pllc 3801 W Lake Mary Blvd Suite 111 Lake Mary FL 32746-6159 Ph: (407) 936-3400 |
| NPI Number | 1043674872 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043674872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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