| Sage Dental Of Sodo Pllc | |
|
1737 S Orange Ave Orlando FL 32806-2935 | |
| (407) 341-1222 | |
| (561) 431-8169 |
| Full Name | Sage Dental Of Sodo Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1737 S Orange Ave, Orlando, 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 Sodo Pllc 951 Broken Sound Pkwy Ste 250 Boca Raton FL 33487-3506 Ph: (561) 999-9650 | Sage Dental Of Sodo Pllc 1737 S Orange Ave Orlando FL 32806-2935 Ph: (407) 341-1222 |
| NPI Number | 1932699592 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 05/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932699592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN12876 (Florida) | Primary |
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