| NPI | 1710766001 |
|---|---|
| Doing Business As | SAGE DENTAL OF JACKSONVILLE SOUTHSIDE PLLC |
| Entity Type | Organization |
| Authorized Contact | CINDY ROARK SVP & Chief Clinical Officer 561-999-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |