| NPI | 1366561888 |
|---|---|
| Doing Business As | SOUTHERN VILLAGE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANNELISE CECILE HARDIN President 919-967-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7773) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |