Organization
IMAGIX DENTAL OF ROSWELL 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
1345 HEMBREE RD, ROSWELL, GA 30076-3816
(770) 777-7424
Mailing address
1345 HEMBREE RD, ROSWELL, GA 30076-3816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
GA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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