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 |