| Sage Dental Of The Loop Pllc | |
|
1188 W Osceola Parkway Kissimmee FL 34741 | |
| (407) 279-4335 | |
| (561) 431-8169 |
| Full Name | Sage Dental Of The Loop Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1188 W Osceola Parkway, Kissimmee, 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 The Loop Pllc 6600 Congress Ave Ste 150 Boca Raton FL 33487-1213 Ph: (561) 999-9650 | Sage Dental Of The Loop Pllc 1188 W Osceola Parkway Kissimmee FL 34741 Ph: (407) 279-4335 |
| NPI Number | 1710431531 |
|---|---|
| Provider Enumeration Date | 08/10/2016 |
| Last Update Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710431531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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