| NPI | 1376116293 |
|---|---|
| Doing Business As | SOUTHSIDE SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE SHEFFIELD Dentist 804-267-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |