| NPI | 1134652175 |
|---|---|
| Doing Business As | SAGE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHEINA JEAN-MARIE President 617-446-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-24 |