Imagix 1 Dental

NPI 1255436994 - Dentist - 122300000X

NPI Details
NPI 1255436994
Enumeration Date 09/14/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EUGENE EUGENE
Position DENTIST/OWNER
Phone (770) 569-0529
Fax
Practice Location
10945 STATE BRIDGE ROAD
402
ALPHARETTA GA, 30022-8164, US
Phone (770) 569-0529
Fax
Business Location
10945 STATE BRIDGE ROAD
402
ALPHARETTA GA, 30022-8164, US
Phone (770) 569-0529
Fax
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number 009491
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According to our database, Imagix 1 Dental NPI is 1255436994, taxonomy code is 122300000X and license number is 009491, license state is located at Georgia. Imagix 1 Dental physically located at 10945 State Bridge Road, Alpharetta GA, 30022-8164. NPI Number 1033115704 has the healthcare provider type.

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1255436994 NPI number is provided on an as is basis without warranty of any kind. 1255436994 is maintained by the National Plan & Provider Enumeration System. The contents of Imagix 1 Dental are for informational purposes only.