| Sage Dental Of Miami Lakes Pllc | |
|
16879 Nw 67th Ave Miami Lakes FL 33014-4203 | |
| (786) 456-1760 | |
| (561) 431-8169 |
| Full Name | Sage Dental Of Miami Lakes Pllc |
|---|---|
| Speciality | Dentist |
| Location | 16879 Nw 67th Ave, Miami Lakes, Florida |
| Authorized Official Name and Position | Antonio Cruz (CHIEF DENTAL DIRECTOR) |
| Authorized Official Contact | 5619999650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Dental Of Miami Lakes Pllc 951 Broken Sound Pkwy Suite 250 Boca Raton FL 33487-3507 Ph: (561) 999-9650 | Sage Dental Of Miami Lakes Pllc 16879 Nw 67th Ave Miami Lakes FL 33014-4203 Ph: (786) 456-1760 |
| NPI Number | 1437504289 |
|---|---|
| Provider Enumeration Date | 04/29/2016 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437504289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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