| NPI | 1952688004 |
|---|---|
| Doing Business As | ROLLING OAKS DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MICHAEL DOUGHERTY President/CEO 210-722-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |