| NPI | 1144059940 |
|---|---|
| Doing Business As | SOUTHLAND SMILES |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M CERVANTES Manager 708-799-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |