Organization
IMAGIX DENTAL OF HICKORY FLAT 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
7840 HICKORY FLAT HWY, WOODSTOCK, GA 30188-2099
(770) 479-8654
Mailing address
7840 HICKORY FLAT HWY, WOODSTOCK, GA 30188-2099
(770) 479-8654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
GA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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