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1164956157
SAGE DENTAL GROUP OF GEORGIA LLC
TUCKER, GA
NPI
1164956157
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Entity Type
Organization
Authorized Contact
JONATHAN CHANG
Chief Dental Director
561-999-9650
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2017-04-17
Last Update Date
2023-05-18
Business Address
SAGE DENTAL GROUP OF GEORGIA LLC
4320 LAVISTA RD SUITE C119
TUCKER, GA 30084
Phone number: 678-688-4811
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Mailing Address
SAGE DENTAL GROUP OF GEORGIA LLC
6600 CONGRESS AVE STE 150
BOCA RATON, FL 33487-1213
Phone number: 678-688-4811
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