Sage Dental of Land O Lakes, Pllc

NPI #1952006611 in Lutz, Florida

Provider Information

NPI Number: 1952006611
Entity Type: Organization
Organization Name: Sage Dental of Land O Lakes, Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 3, 2023
Last Updated: Apr 3, 2023

Practice Location

Address: 19721 STATE ROAD 54
City: Lutz
State: Florida
ZIP Code: 33558
Phone: (561) 999-9650

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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