NPI | 1053561555 |
---|---|
Doing Business As | SOUTHLAND DENTAL CARE |
Entity Type | Organization |
Authorized Contact | AXON DARREN SHOLAR President/Ownder 910-285-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 6268) |
Enumeration Date | 2008-09-22 |
Last Update Date | 2020-06-11 |