| NPI | 1265791354 |
|---|---|
| Doing Business As | IMAGINE SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | NATASHA GEEN Owner 212-375-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 052329) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NY 052250) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |