| NPI | 1033992599 |
|---|---|
| Doing Business As | SOUTHERN DENTAL GROUP |
| Other Name | SOUTHERN DENTAL GROUP |
| Doing Business As | LAKE GASTON DENTAL - WARRENTON |
| Entity Type | Organization |
| Authorized Contact | ALLA ALLA SHRAGER President 412-720-9277 |
| 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 | 2025-01-13 |