Sage Dental of Brandon Pllc

NPI #1417617689 in Brandon, Florida

Provider Information

NPI Number: 1417617689
Entity Type: Organization
Organization Name: Sage Dental of Brandon Pllc
Primary Specialty: Dentist
Enumeration Date: Dec 29, 2021
Last Updated: May 19, 2023

Practice Location

Address: 410 W BLOOMINGDALE AVE
City: Brandon
State: Florida
ZIP Code: 33511-7402
Phone: (813) 654-0037

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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