| NPI | 1053442210 |
|---|---|
| Doing Business As | SOUTHERN DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DACIA K EILERT-HOLCOMB Office Manager 336-945-5555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2022-07-21 |