Organization
MAXILLOFACIAL IMAGING LLC
Active
Other names
Advanced Head & Neck Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JANE ROACH RDH (MANAGER)
(651) 636-3050
Entity
Organization
Contact information
Practice address
2860 SNELLING AVE N, SUITE 2, ROSEVILLE, MN 55113-1438
(651) 636-3050
Mailing address
2860 SNELLING AVE N, SUITE 2, ROSEVILLE, MN 55113-1438
(651) 636-3050
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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