Organization
IMAGDENT ABILENE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET ROYAL (CHIEF OPERATIONS OFFICER)
(210) 404-1215
Entity
Organization
Contact information
Practice address
4400 BUFFALO GAP RD, STE. 0475, ABILENE, TX 79606-2723
(325) 232-8692
Mailing address
14329 SAN PEDRO AVE, STE. C, SAN ANTONIO, TX 78232-4388
(210) 404-1215
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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