| 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 |