NPI | 1609342856 |
---|---|
Doing Business As | SILVER SAGE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | STEVEN J. WINGFIELD Owner 678-906-1769 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-10-15 |
Last Update Date | 2018-10-15 |