NPI | 1023437472 |
---|---|
Doing Business As | ROCKTOWN FAMILY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JOAN ISABELL ANDERSON Owner/President/Dentist 540-705-0102 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401413162) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VA 0402206209) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2014-04-14 |