| NPI | 1235738113 |
|---|---|
| Doing Business As | SOUTHGATE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID SORIAL President 734-281-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2021-01-13 |