Imagix Dental of Johns Creek LLC

NPI #1992187710 in Suwanee, Georgia

Provider Information

NPI Number: 1992187710
Entity Type: Organization
Organization Name: Imagix Dental of Johns Creek LLC
Primary Specialty: Dentist
Enumeration Date: Jun 29, 2015
Last Updated: Jun 29, 2015

Practice Location

Address: 4245 JOHNS CREEK PKWY
Address 2: SUITE C
City: Suwanee
State: Georgia
ZIP Code: 30024-9121
Phone: (678) 990-5980

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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