| NPI | 1225432172 |
|---|---|
| Doing Business As | SOUTHEAST SMILES |
| Entity Type | Organization |
| Authorized Contact | MERRITT DAKE Manager/Owner 501-781-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |