Organization
IMAGIX DENTAL MANAGEMENT GROUP IV LLC
Active
Other names
Imagix IV
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE WITKIN DDS (OWNER)
(770) 777-7427
Entity
Organization
Contact information
Practice address
1345 HEMBREE RD, ROSWELL, GA 30076-3816
(770) 777-7427
Mailing address
1345 HEMBREE RD, ROSWELL, GA 30076-3816
(770) 777-7427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO09491
GA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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