NPI | 1386301422 |
---|---|
Former Legal Business Name | SANDERS & SOULT, PLLC |
Former Legal Business Name | SANDERS & LOE, DDS, PC |
Doing Business As | SOULT & SWANSON FAMILY DENTISTRY AND IMPLANT CENTER |
Entity Type | Organization |
Authorized Contact | MCKINLEY SOULT Owner/Managing Member 614-477-8219 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2021-11-23 |
Last Update Date | 2025-03-24 |