| NPI | 1245868827 |
|---|---|
| Doing Business As | SOUTHEAST DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROTH RUBE HARRISON LEWIS Owner 302-332-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |