| NPI | 1750314761 |
|---|---|
| Doing Business As | ROANOKE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY ANNE BAKER President 817-430-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19129) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-03-07 |