| NPI | 1710416466 |
|---|---|
| Doing Business As | SAGE DENTAL OF MIDTOWN ATLANTA |
| Entity Type | Organization |
| Authorized Contact | RACHEL NITTINGER Director Provider Credentialing 561-999-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-03-01 |