NPI | 1487191649 |
---|---|
Doing Business As | SAGE DENTAL OF JOHN'S CREEK |
Entity Type | Organization |
Authorized Contact | JONATHAN CHANG Chief Dental Director 561-999-9650 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2017-01-26 |
Last Update Date | 2023-05-18 |