| NPI | 1144974031 |
|---|---|
| Doing Business As | SOUTHERN SHORES DENTAL OF COLUMBIA |
| Entity Type | Organization |
| Authorized Contact | JON D. SMITH Dr./Owner 803-606-5134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |