Sage Dental of Bonita Springs, Pllc
NPI #1912746728 in Bonita Springs, Florida
Provider Information
- NPI Number
- 1912746728
- Entity Type
- Organization
- Organization Name
- Sage Dental of Bonita Springs, Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- May 21, 2024
- Last Updated
- May 21, 2024
Practice Location
- Address
- 11380 BONITA BEACH RD SE
- City
- Bonita Springs
- State
- Florida
- ZIP Code
- 34135-5706
- Phone
- (561) 999-9650
Authorized Official
- Name
- CINDY ROARK
- Title
- SVP & CHIEF CLINICAL OFFICER
- Phone
- (561) 999-9650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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