Provider Demographics
NPI:1992179204
Name:BETTER LIFE IMAGING CENTER
Entity Type:Organization
Organization Name:BETTER LIFE IMAGING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUNLOP
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:559-435-3200
Mailing Address - Street 1:6535 N PALM AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-1064
Mailing Address - Country:US
Mailing Address - Phone:559-435-3200
Mailing Address - Fax:559-435-5759
Practice Address - Street 1:6535 N PALM AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-1064
Practice Address - Country:US
Practice Address - Phone:559-435-3200
Practice Address - Fax:559-435-5759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57201261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental