| NPI | 1881039212 |
|---|---|
| Doing Business As | SAGE DENTISTRY AUSTIN |
| Entity Type | Organization |
| Authorized Contact | NICOLE E LATIOLAIS Owner 512-263-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: TX 24030) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |