| NPI | 1114459054 |
|---|---|
| Doing Business As | SAGE DENTAL OF SUWANEE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHANG Chief Dental Director 678-765-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-05-18 |