Imagix Family Dentistry Of Vinings LLC
Dentist in Atlanta, GA. Organization (NPI-2).
NPI number1851765663
StatusActive
Last updated in NPPESNov 17, 2015
Details
- NPI
- 1851765663
- Entity type
- Organization (NPI-2)
- Legal business name
- Imagix Family Dentistry Of Vinings LLC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2015
- Last updated
- Nov 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | GA | Yes |
Practice location
2460 Cumberland Pkwy Se210
Atlanta, GA 30339-4519
Phone 770-433-2414
Mailing address
2460 Cumberland Pkwy Se210
Atlanta, GA 30339-4519
Phone 770-433-2414
Authorized official
Crystal Chouinard
Credentialing Specialist
9419553150
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