NPI | 1982369542 |
---|---|
Doing Business As | SAGE DENTAL OF NORTH CUMMING |
Entity Type | Organization |
Authorized Contact | RACHEL NITTINGER Director, Provider Credentialing 561-999-9650 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2021-11-08 |
Last Update Date | 2022-08-05 |