| Sage Dental Of Pembroke Pines, Pllc | |
|
17027 Pines Boulevard Pembroke Pines FL 33027-1003 | |
| (954) 704-0044 | |
| (561) 431-8169 |
| Full Name | Sage Dental Of Pembroke Pines, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 17027 Pines Boulevard, Pembroke Pines, 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 Pembroke Pines, Pllc 951 Broken Sound Pkwy Suite 250 Boca Raton FL 33487 Ph: (561) 999-9650 | Sage Dental Of Pembroke Pines, Pllc 17027 Pines Boulevard Pembroke Pines FL 33027-1003 Ph: (954) 704-0044 |
| NPI Number | 1346593076 |
|---|---|
| Provider Enumeration Date | 10/18/2012 |
| Last Update Date | 03/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346593076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN6483 (Florida) | Primary |
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