DR. Charles Michael Sage JR., DDS

NPI #1659439677 in Wasilla, Alaska

Provider Information

NPI Number: 1659439677
Entity Type: Individual
Name: DR. Charles Michael Sage JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 418 N MAIN STREET
City: Wasilla
State: Alaska
ZIP Code: 99654
Phone: (907) 373-8455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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