Sage Dental of Durbin Creek, Pllc

NPI #1073352878 in St Johns, Florida

Provider Information

NPI Number: 1073352878
Entity Type: Organization
Organization Name: Sage Dental of Durbin Creek, Pllc
Primary Specialty: Dentist
Enumeration Date: May 21, 2024
Last Updated: May 21, 2024

Practice Location

Address: 71 DOCTORS VILLAGE DR STE 303
City: St Johns
State: Florida
ZIP Code: 32259-2406
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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