| NPI | 1417481599 |
|---|---|
| Doing Business As | SAGE DENTAL OF MARIETTA |
| 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 |