| Sage Dental Of Coconut Creek , Pllc | |
|
5463 Lyons Rd Suite C Coconut Creek FL 33073-2828 | |
| (954) 571-7123 | |
| (561) 431-8169 |
| Full Name | Sage Dental Of Coconut Creek , Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5463 Lyons Rd, Coconut Creek, Florida |
| Authorized Official Name and Position | Antonio Cruz (CHIEF DENTAL DIRECTORS) |
| Authorized Official Contact | 5619999650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Dental Of Coconut Creek , Pllc 951 Broken Sound Pkwy Suite 250 Boca Raton FL 33487 Ph: (561) 999-9650 | Sage Dental Of Coconut Creek , Pllc 5463 Lyons Rd Suite C Coconut Creek FL 33073-2828 Ph: (954) 571-7123 |
| NPI Number | 1700034600 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 02/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700034600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN6483 (Florida) | Primary |
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