Organization
IMAGE DENTISTRY OF GLENDALE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID FARBER (OWNER)
(602) 298-7200
Entity
Organization
Contact information
Practice address
6120 W BELL RD, SUITE 180, GLENDALE, AZ 85308-3781
(602) 298-7200
(602) 298-7202
Mailing address
6120 W BELL RD, SUITE 180, GLENDALE, AZ 85308-3781
(602) 298-7200
(602) 298-7202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5085
AZ
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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