| NPI | 1336929595 |
|---|---|
| Doing Business As | SOUTHERN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KAYLA CYPHERS Office Manager 985-876-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |