Sage Dental of Lady Lake Pllc

NPI #1023897402 in Lady Lake, Florida

Provider Information

NPI Number: 1023897402
Entity Type: Organization
Organization Name: Sage Dental of Lady Lake Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 26, 2023
Last Updated: Sep 26, 2023

Practice Location

Address: 1116 BICHARA BLVD
City: Lady Lake
State: Florida
ZIP Code: 32159-7716
Phone: (561) 999-9650

Authorized Official

Name: CINDY ROARK
Title: SVP & CHIEF CLINICAL OFFICER
Phone: (561) 999-9650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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