Imagine Dental
Imagine Dental is a Dentist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2014.
- Licensed in
- AZ
- In the registry since
- 2014
Practice location Address checks out
650 W Maryland Ave 1-2Phoenix, AZ 85013-1399
Phone: (480) 633-9977
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D07028 (AZ) |
|---|
Record details
| NPI number | 1043623770 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Dental Specialty Associates |
| Authorized official | Brian Lilien — Owner · (480) 633-9977 |
| NPI enumerated | June 10, 2014 |
| Last updated in NPPES | June 10, 2014 |
| Mailing address | 650 W Maryland Ave, 1-2, Phoenix, AZ 85013-1399 |
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