Imagix Dental of Suwanee LLC

NPI #1417325952 in Suwanee, Georgia

Provider Information

NPI Number: 1417325952
Entity Type: Organization
Organization Name: Imagix Dental of Suwanee LLC
Primary Specialty: Dentist
Enumeration Date: Sep 14, 2015
Last Updated: Sep 14, 2015

Practice Location

Address: 350 TOWN CENTER AVE STE 301
City: Suwanee
State: Georgia
ZIP Code: 30024-6914
Phone: (678) 835-0793

Authorized Official

Name: MIKE COLE
Title: VP INSURANCE PLAN MANAGEMENT
Phone: (727) 726-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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