Organization
IMAGIX DENTAL OF SUWANEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 726-1611
Entity
Organization
Contact information
Practice address
350 TOWN CENTER AVE STE 301, SUWANEE, GA 30024-6914
(678) 835-0793
(678) 546-7932
Mailing address
350 TOWN CENTER AVE STE 301, SUWANEE, GA 30024-6914
(678) 835-0793
(678) 546-7932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
GA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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