NPI | 1023276649 |
---|---|
Other Name | IMAGINE ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | RYAN YOUNG Owner/Orthodontist 480-668-8200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ 6968) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2008-05-30 |