| NPI | 1922248384 |
|---|---|
| Doing Business As | INNOVATIVE DENTAL IMAGING |
| Entity Type | Organization |
| Authorized Contact | LAURA H BONHAM Vice President 832-813-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |