| NPI | 1467059501 |
|---|---|
| Doing Business As | SOUTHERN CHARM DENTAL |
| Entity Type | Organization |
| Authorized Contact | KRUPA PATEL Manager 402-216-6693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2022-11-30 |