| 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 |