| Imagine Orthodontics | |
|
1702 S Val Vista Dr Suite 101 Mesa AZ 85204-7304 | |
| (480) 668-8200 | |
| Not Available |
| Full Name | Imagine Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1702 S Val Vista Dr, Mesa, Arizona |
| Authorized Official Name and Position | Ryan Young (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 4806688200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Orthodontics 1702 S Val Vista Dr Suite 101 Mesa AZ 85204-7304 Ph: (480) 668-8200 | Imagine Orthodontics 1702 S Val Vista Dr Suite 101 Mesa AZ 85204-7304 Ph: (480) 668-8200 |
| NPI Number | 1023276649 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023276649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6968 (Arizona) | Primary |
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