NPI | 1518043355 |
---|---|
Doing Business As | ROSEBORO FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MATHEW JOHN SCHMITT Secretary 910-525-5115 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 7654) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 7517) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2020-08-22 |