| Sage Dental Of Lakeland South Pllc | |
|
4021 S Florida Ave Lakeland FL 33813-1623 | |
| (561) 999-9650 | |
| Not Available |
| Full Name | Sage Dental Of Lakeland South Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4021 S Florida Ave, Lakeland, Florida |
| Authorized Official Name and Position | Cindy Roark (PRESIDENT) |
| Authorized Official Contact | 5619999650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Dental Of Lakeland South Pllc 6600 Congress Ave Ste 150 Boca Raton FL 33487-1213 Ph: (561) 999-9650 | Sage Dental Of Lakeland South Pllc 4021 S Florida Ave Lakeland FL 33813-1623 Ph: (561) 999-9650 |
| NPI Number | 1215503206 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215503206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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