| NPI | 1003048752 |
|---|---|
| Doing Business As | SOUTHEND DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRADFORD LEE PICOT Owner/Dentist 704-335-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8158) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NC 8158) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |