NPI | 1740994219 |
---|---|
Doing Business As | ROWAN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | PETER GRUMBOS Owner 662-534-4397 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-01-10 |
Last Update Date | 2023-01-10 |