| NPI | 1427509298 |
|---|---|
| Doing Business As | SOUTHGATE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KEITH A WILLIAMS President 954-975-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |