NPI | 1609200195 |
---|---|
Doing Business As | IMAGE DENTISTRY OF GLENDALE |
Entity Type | Organization |
Authorized Contact | MICHAEL ANDERSEN VP Operations 727-561-7666 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2013-09-03 |
Last Update Date | 2013-09-03 |