| NPI | 1164260055 | 
|---|---|
| Other Name | IMAGE ORTHODONTICS | 
| Entity Type | Organization | 
| Authorized Contact | YASMINE KARAVATTUVEETIL Director Of Rcm 916-306-7576 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | 
| Enumeration Date | 2024-07-16 | 
| Last Update Date | 2024-07-16 |