Organization · Type 2 NPI

New Image Dental Group

Dental Clinic/Center · Bogart, GA

NPI number 1194996736 Active

Practice location

1040 Garland Dr Ste 200
Bogart, GA 30622-3201

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDN013040 (GA)

Dental Clinic/Center: Definition to come...

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About NPI 1194996736

New Image Dental Group's National Provider Identifier is 1194996736, issued on Mar 21, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bogart, GA. The record was last updated on Mar 21, 2008.