Organization · NPI-2
3-D Maxillofacial Imaging Centers, Plc
Radiology, Diagnostic Radiology · Troy, MI
NPI number1760679120
StatusActive
Last updated in NPPESNov 3, 2016
Details
- NPI
- 1760679120
- Entity type
- Organization (NPI-2)
- Legal business name
- 3-D Maxillofacial Imaging Centers, Plc
- Organization subpart
- No
- Enumeration date
- Oct 1, 2007
- Last updated
- Nov 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
3144 John R RdSuite 100
Troy, MI 48083-5930
Phone 248-740-7770 · Fax 248-519-0300
Mailing address
3144 John R RdSuite 100 A
Troy, MI 48083-5930
Phone 248-740-7770 · Fax 248-714-1447
Authorized official
Ghabi Kaspo
Owner
2487407770
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