NPI | 1801675103 |
---|---|
Doing Business As | SAGE DENTAL OF OCALA SOUTHWEST 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 |