NPI | 1174386502 |
---|---|
Doing Business As | SAGE DENTAL OF HOLLY SPRINGS |
Entity Type | Organization |
Authorized Contact | CINDY ROARK SVP & Chief Clinical Officer 561-999-9650 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-01-30 |
Last Update Date | 2024-01-30 |