| NPI | 1972119030 |
|---|---|
| Doing Business As | DENTAL IMAGE |
| Entity Type | Organization |
| Authorized Contact | DANIEL MCGONIGLE VP 708-906-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |