| NPI | 1861273112 |
|---|---|
| Doing Business As | COMMON ROOTS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PURAV B PATEL Owner 682-557-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |