| NPI | 1609649524 |
|---|---|
| Doing Business As | ROLLA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RYAN MCCOSTLIN CEO 615-479-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |