| Image Dental | |
|
56 Edwards Village Blvd Suite 216 Edwards CO 81632-7802 | |
| (970) 926-5437 | |
| (970) 926-7960 |
| Full Name | Image Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 56 Edwards Village Blvd, Edwards, Colorado |
| Authorized Official Name and Position | Richard Maguire (MANAGING PARTNER) |
| Authorized Official Contact | 9709265437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Image Dental 56 Edwards Village Blvd Suite 216 Edwards CO 81632-7802 Ph: (970) 926-5437 | Image Dental 56 Edwards Village Blvd Suite 216 Edwards CO 81632-7802 Ph: (970) 926-5437 |
| NPI Number | 1740305820 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740305820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7805 (Colorado) | Primary |
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