NPI | 1427766112 |
---|---|
Doing Business As | STONEHENGE FAMILY & COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | RAWLEY H FULLER Owner 336-213-0549 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-11-10 |
Last Update Date | 2022-11-10 |