Organization
IMAGIX DENTAL OF NORCROSS 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
5270 PEACHTREE PKWY STE 101, NORCROSS, GA 30092-2558
(770) 448-9333
(678) 990-0359
Mailing address
5270 PEACHTREE PKWY STE 101, NORCROSS, GA 30092-2558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
GA
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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