NPI | 1528556800 |
---|---|
Doing Business As | DUAL IMAGE DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | LAUREN R LOCKHART Orthodontist/Owner 704-334-6907 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 9590) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2019-06-11 |