| NPI | 1922878941 |
|---|---|
| Doing Business As | SAGEWOOD DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | AMANDA LIGHTFOOT Authorized Official 214-702-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-03-12 |