| NPI | 1952066458 |
|---|---|
| Doing Business As | IMAGINE CHILDREN'S DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | AARON SALINAS Owner 956-612-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |