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Image Orthodontics Pc
Dental Clinic/Center in West Lafayette, Indiana
NPI 1063768471

Image Orthodontics Pc is a Dental Clinic/Center based in West Lafayette, IN and is specialized in Dental. Image Orthodontics Pc practices in West Lafayette, IN. The NPI Number for Image Orthodontics Pc is 1063768471 and holds a License No. 54001743A (Indiana).

The current practice location address for Image Orthodontics Pc is 1748 Northwestern Ave, West Lafayette, IN and can be reached out via phone at 765-463-6622.

Location: 1748 Northwestern Ave, West Lafayette, IN, 47906-2271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063768471
Provider Name
Image Orthodontics Pc
Credential
Provider Entity Type
Organization
Address
1748 Northwestern Ave, West Lafayette, IN, 47906-2271
Phone Number
765-463-6622
Fax Number
Provider Enumeration Date
08/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1748 Northwestern Ave
City
West Lafayette
State
Indiana
Zip
47906-2271
Phone Number
765-463-6622
Fax Number
person
Provider Business Mailing Address Details
Address
1748 Northwestern Ave
City
West Lafayette
State
Indiana
Zip
47906-2271
Phone Number
765-463-6622
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
54001743A (Indiana)
Definition
Definition to come...
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