Organization
DENTAL FACIAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES SCHIAVO (MANAGING MEMBER)
(405) 285-9697
Entity
Organization
Contact information
Practice address
1705 RENAISSANCE BLVD, SUITE 135, EDMOND, OK 73013-3041
(405) 285-9697
(405) 285-6902
Mailing address
1705 RENAISSANCE BLVD, SUITE 135, EDMOND, OK 73013-3041
(405) 285-9697
(405) 285-6902
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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