| NPI | 1073393336 |
|---|---|
| Doing Business As | ROLLA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RYAN MCCOSTLIN CEO 615-479-2196 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |