| NPI | 1487958641 |
|---|---|
| Former Legal Business Name | DAVID ROACH FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID ROACH Owner/Doctor 615-383-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7165) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |