NPI 1083015697

Sage Dental of Hollywood, PLLC

Organisation Dentist Hollywood, FL

Practice location

Address: 4461 Sheridan St, Hollywood, FL 33021-3513
Phone: (954) 966-6352
Fax: (561) 431-8169
Mailing address: 6600 Congress Ave STE 150, Boca Raton, FL 33487-1213

Authorised official

Name: Antonio Cruz
Title: Chief Dental Director
Phone: (561) 999-9650

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1083015697
Entity type: Organization
NPI issued: 15 Sep 2014
Record last updated: 8 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.