NPI | 1801231659 |
---|---|
Doing Business As | IMAGINE AESTHETICS |
Entity Type | Organization |
Authorized Contact | LEIF O NORDBERG President 203-324-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2013-05-07 |
Last Update Date | 2018-08-22 |