Organization
NEW IMAGE ORTHODONTICS,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG HICKS D.D.S (DENTIST)
(713) 774-9998
Entity
Organization
Contact information
Practice address
8535 W BELLFORT ST, SUITE 120, HOUSTON, TX 77071-2263
(713) 774-9998
Mailing address
8535 W BELLFORT ST, SUITE 120, HOUSTON, TX 77071-2263
(713) 774-9998
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0016426
TX
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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