Sage Dental of Mt Dora Pllc

NPI #1306412390 in Mount Dora, Florida

Provider Information

NPI Number: 1306412390
Entity Type: Organization
Organization Name: Sage Dental of Mt Dora Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 1, 2021
Last Updated: Jun 8, 2023

Practice Location

Address: 17435 US HIGHWAY 441 STE 107
City: Mount Dora
State: Florida
ZIP Code: 32757-6750
Phone: (561) 999-9650

Authorized Official

Name: CINDY ROARK, DMD, MS, COO
Title: PRESIDENT
Phone: (561) 999-9650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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