| NPI | 1215960976 |
|---|---|
| Former Legal Business Name | FLATROCK FAMILY DENTISTRY, P.C. |
| Entity Type | Organization |
| Authorized Contact | DEREK PATRICK WALROD President 308-534-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6052) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-08-12 |