| NPI | 1154934354 |
|---|---|
| Doing Business As | SOUTHERN SMILES |
| Entity Type | Organization |
| Authorized Contact | DANIEL KNAUSE President 864-915-0341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |