Organization
IMAGIX 1 DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE WITKIN DDS (DENTIST/OWNER)
(770) 569-0529
Entity
Organization
Contact information
Practice address
10945 STATE BRIDGE ROAD, 402, ALPHARETTA, GA 30022-8164
(770) 569-0529
Mailing address
10945 STATE BRIDGE ROAD, 402, ALPHARETTA, GA 30022-8164
(770) 569-0529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009491
GA
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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