NPI | 1215820519 |
---|---|
Doing Business As | IMAGINE DENTAL IMPLANT CENTER |
Entity Type | Organization |
Authorized Contact | STEVEN RODRIGUEZ Owner 734-751-5106 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-06-03 |
Last Update Date | 2025-06-03 |