Sage Dental of Lake Park Pllc

NPI #1568051878 in Lake Park, Florida

Provider Information

NPI Number: 1568051878
Entity Type: Organization
Organization Name: Sage Dental of Lake Park Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 12, 2021
Last Updated: Jan 12, 2021

Practice Location

Address: 1230 NORTHLAKE BLVD
City: Lake Park
State: Florida
ZIP Code: 33403-2050
Phone: (561) 999-9650

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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