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1205193539
SAGE DENTAL OF PORT ST LUCIE WEST, PLLC
PORT ST LUCIE, FL
NPI
1205193539
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Entity Type
Organization
Authorized Contact
ANTONIO CRUZ
Chief Dental Director
561-999-9650
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN6483)
Enumeration Date
2012-04-11
Last Update Date
2017-04-19
Business Address
SAGE DENTAL OF PORT ST LUCIE WEST, PLLC
1722 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-2504
Phone number: 772-337-8600
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Mailing Address
SAGE DENTAL OF PORT ST LUCIE WEST, PLLC
951 BROKEN SOUND PKWY SUITE 250
BOCA RATON, FL 33487
Phone number: 561-999-9650
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