| NPI | 1528307584 |
|---|---|
| Doing Business As | COMMON ROOTS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | WHITNEY WOLFF Owner 972-436-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-04-12 |