| 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 |