| NPI | 1033452669 |
|---|---|
| Doing Business As | SOUTHEAST SMILES |
| Entity Type | Organization |
| Authorized Contact | PARIMAL M PANCHAL General Dentist 910-859-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 9205) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |