| NPI | 1013435346 |
|---|---|
| Doing Business As | SOUTHLAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTIE KNIGHT Revenue Cycle Director 205-477-4242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2020-06-26 |