NPI | 1821705120 |
---|---|
Doing Business As | ROCKY MOUNT FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES WILLIS CEO 304-685-5980 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-11-04 |
Last Update Date | 2022-11-04 |