| NPI | 1972089837 |
|---|---|
| Doing Business As | NEW IMAGE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CRAIG STUART HICKS Owner 214-455-8801 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 16426) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |