| NPI | 1962159293 |
|---|---|
| Doing Business As | SAGE DENTAL OF WEST COBB |
| Entity Type | Organization |
| Authorized Contact | RACHEL NITTINGER Director, Provider Credentialing 972-955-8234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |