| 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 |