| NPI | 1770012445 |
|---|---|
| Doing Business As | SAGE DENTAL OF ROSWELL |
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHANG Chief Dental Director 561-999-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |