| NPI | 1477188407 |
|---|---|
| Doing Business As | IMAGINE BRACES |
| Entity Type | Organization |
| Authorized Contact | WARREN JOHNSON President 719-432-9807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2022-08-05 |