| NPI | 1396237624 |
|---|---|
| Doing Business As | SOUTHERN SURGICAL ARTS |
| Entity Type | Organization |
| Authorized Contact | CHARLES G STONE Owner 903-520-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 20511) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |