NPI | 1033992599 |
---|---|
Doing Business As | SOUTHERN DENTAL GROUP |
Other Name | SOUTHERN DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | ALLA ALLA SHRAGER Owner/Orthodontist 919-636-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-08-17 |
Last Update Date | 2024-04-09 |