NPI | 1679976864 |
---|---|
Doing Business As | DUAL IMAGE ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | BRYAN ALLEN LOCKHART Owner/Orthodontist 704-269-8495 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 9767) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2014-10-01 |