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 |